NPIMap

Individual provider Active NPI

Jun Oh Kim, MD

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1245295765
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37046 Issued in KY
Practice address
4002 Kresge Way
Suite 124
Louisville, KY 40207-4661
Phone
(502) 895-4263
Fax
(502) 899-5488
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 37046 KY Primary

Addresses

Primary practice location

4002 Kresge Way
Suite 124
Louisville, KY 40207-4661

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730

Other identifiers 8

IdentifierTypeStateIssuer
000000350555OtherANTHEM - NMA
1165019OtherPASSPORT - NMA
9332831006OtherCIGNA / NMA
009893OtherSIHO - NMA
2439903000OtherPAD - NMA
64047855MedicaidKY
P00180631OtherKYRRMCR - NMA
1193586OtherCHA / NMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkim7551@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000038 KY Practitioner - Internal Medicine 1850359837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisville Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-5129
Phone (502) 238-2801

Hospital & facility affiliations

  • Housecall Home Health, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187059
  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 31, 2012 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 31, 2012 Accepting new patients

Locations

2600 Stanley Gault Pkwy
#201
Louisville, KY 40223
Phone (502) 253-1004

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3991 Dutchmans Ln
Ste 205
Louisville, KY 40207
Phone (502) 899-6170

4002 Kresge Way
Ste 124
Louisville, KY 40207
Phone (502) 895-4263

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • Direct secure messaging: jkim7551@bhkydirect.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.

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1245295765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 KRESGE WAY",
            "address_2": "SUITE 124",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074661",
            "telephone_number": "502-895-4263",
            "fax_number": "502-899-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUN",
        "middle_name": "OH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NMA",
            "identifier": "000000350555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - NMA",
            "identifier": "1165019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA / NMA",
            "identifier": "9332831006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NMA",
            "identifier": "009893",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAD - NMA",
            "identifier": "2439903000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64047855",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NMA",
            "identifier": "P00180631",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA / NMA",
            "identifier": "1193586",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkim7551@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4002 Kresge Way",
            "address_2": "Suite 124",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.