Individual provider Active NPI

Deborah Miyoung Kim, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1194054197
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301514141 Issued in MI
Practice address
7800 W Outer Dr
Detroit, MI 48235-3296
Phone
(313) 543-6200
Fax
(313) 543-6210
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 113965 FL
Family Medicine Physician 207Q00000X 4301514141 MI Primary

Addresses

Primary practice location

7800 W Outer Dr
Detroit, MI 48235-3296

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (138) 744-8063

Other practice location 1

1150 NW 14th St Ste 502
Miami, FL 33136-2116
Phone (305) 243-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000716 FL Practitioner - Family Practice 5092963967 Reassigns benefits to 2 organizations
I20250818000122 MI Practitioner - Family Practice 5092963967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

7800 W Outer Dr
Detroit, MI 48235-3461
Phone (313) 543-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 113965FLMDFamily Medicine Physician
4301514141MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henr Y Ford Health System Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Aug 1, 2025 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Sep 20, 2016 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 1, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
University of Miami Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Sep 20, 2016 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1150 NW 14th St
Ste 502
Miami, FL 33136
Phone (305) 243-7429

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

Interoperability endpoints

  • Direct secure messaging: dkim99875@direct.med.miami.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194054197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "138-744-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353296",
            "telephone_number": "313-543-6200",
            "fax_number": "313-543-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 NW 14th St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362116",
            "country_code": "US",
            "telephone_number": "305-243-7429",
            "fax_number": "305-243-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DEBORAH",
        "middle_name": "MIYOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 113965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301514141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.