Active NPI
Changhee Kim, MD
- Family Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301059643
- Practice address
- 38815 Dequindre Rd
Ste 103
Troy, MI 48083 - Phone
- (248) 740-7771
- Fax
- (248) 740-7772
- NPI assigned
- Nov 7, 2005
- Last updated
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301059643 | MI | Primary |
Addresses
Primary practice location
38815 Dequindre Rd
Ste 103
Troy, MI 48083
Mailing address
38815 Dequindre Rd
Ste 103
Troy, MI 48083
Phone (248) 740-7771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4562401 | Medicaid | MI |
Other names 1
- Changhee Kim Hong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
38815 Dequindre
Suite 103
Troy, MI 48083-6810
38815 Dequindre Rd
Suite 103
Troy, MI 48083-6810
Phone (248) 740-7771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059643 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changhee Kim MD PHD PLC | Family Medicine | Current | Accepting new patients |
Locations
38815 Dequindre Rd
Ste 103
Troy, MI 48083
Phone (248) 740-7771
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Troy, MI
- NPI 1790963171
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
dba Internal Medicine Associates Farmington Hills
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1538103395
Hospital
-
dba Botsford Thoracic Surgery Clinic
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1912335373
Hospital
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1215918479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38815 DEQUINDRE RD",
"address_2": "STE 103",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-740-7771",
"fax_number": "248-740-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38815 DEQUINDRE RD",
"address_2": "STE 103",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-740-7771",
"fax_number": "248-740-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHANGHEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301059643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4562401",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHANGHEE",
"last_name": "HONG",
"middle_name": "KIM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.