NPIMap

Organization Active NPI

Donald H Kim MD PC

Doing business as Bethesda Medical Group

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1164469219
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21721 Issued in OK
Legal business name
DONALD H KIM MD PC
Doing business as
Bethesda Medical Group
Practice address
10629 S Western Ave
Oklahoma City, OK 73170-6200
Phone
(405) 692-9977
Fax
(405) 691-6347
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald H Kim, MDNPI 1821035916
Title
President
Phone
(405) 692-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 21721 OK Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 21721 OK

Addresses

Primary practice location

10629 S Western Ave
Oklahoma City, OK 73170-6200

Mailing address

PO Box 891977
Oklahoma City, OK 73189-1977
Phone (405) 692-9977

Other identifiers 2

IdentifierTypeStateIssuer
P00262362OtherOKRAILROAD MEDICARE #
064700062006OtherOKBCBS PROVIDER #

Other names 1

  • Bethesda Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

10629 S Western Ave
Oklahoma City, OK 73170
Phone (405) 692-9977

2815 SW 119th St
Oklahoma City, OK 73170
Phone (405) 692-7333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164469219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891977",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731891977",
            "telephone_number": "405-692-9977",
            "fax_number": "405-691-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10629 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706200",
            "telephone_number": "405-692-9977",
            "fax_number": "405-691-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-692-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21721",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "21721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00262362",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "064700062006",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.