Individual provider Active NPI

Simon Kim, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1194792333
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-13022 Issued in HI
Practice address
1441 Kapiolani Blvd
Suite 606
Honolulu, HI 96814-4401
Phone
(808) 951-9931
Fax
(808) 951-9930
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-13022 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd
Suite 606
Honolulu, HI 96814-4401

Mailing address

1441 Kapiolani Blvd
Suite 606
Honolulu, HI 96814-4401
Phone (808) 951-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000933 HI Practitioner - Internal Medicine 5597798736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformation Health NetworkGroup PAC ID 6103137591, 5 clinicians

Practice addresses (Care Compare)

75-5995 Kuakini Hwy
Suite 513
Kailua Kona, HI 96740-2124
Phone (808) 365-2297

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ciba Health Inc. CurrentSince Jun 1, 2021 Accepting new patients
Transformation Health Network CurrentSince Jan 1, 2026 Accepting new patients
Transformation Health Network CurrentSince Jan 1, 2026 Accepting new patients

Locations

1110 Nuuanu Ave
Honolulu, HI 96817
Phone (347) 352-2316

75-5995 Kuakini Hwy
Ste 513
Kailua Kona, HI 96740
Phone (808) 365-2297

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: simon.kim@52386605563908.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194792333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 606",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-951-9931",
            "fax_number": "808-951-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 606",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-951-9931",
            "fax_number": "808-951-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.