Active NPI
Hi Sook Kim, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1194835835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD016901E
- Practice address
- 5438 N Lawrence Street
Attn: Hi Sook Kim, MD
Philadelphia, PA 19120 - Phone
- (215) 224-2111
- Fax
- (215) 224-6452
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD016901E | PA | Primary |
Addresses
Primary practice location
5438 N Lawrence Street
Attn: Hi Sook Kim, MD
Philadelphia, PA 19120
Mailing address
5438 N Lawrence Street
Philadelphia, PA 19120
Phone (215) 224-2111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0274 | Other | PA | AETNA |
| 03417 | Medicaid | PA | |
| 0646651001 | Other | KEYSTONE EAST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113001022 | PA | Order and Referring Only - Pediatric Medicine | 3476855081 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016901E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194835835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5438 N LAWRENCE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-224-2111",
"fax_number": "215-224-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5438 N LAWRENCE STREET",
"address_2": "ATTN: HI SOOK KIM, MD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-224-2111",
"fax_number": "215-224-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HI",
"middle_name": "SOOK",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD016901E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0274",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03417",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0646651001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.