Duk Chin Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36050757 Issued in IL

Practice address

300 W Lincoln St
Suite 306
Belleville, IL 62220-1987

Phone

(618) 233-0308

Fax

(618) 233-7609

NPI assigned

Apr 11, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Duk C Kim MD LTD

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1609099076
  Authorized official Same address or phone

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245453695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W LINCOLN ST",
            "address_2": "SUITE 306",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201987",
            "telephone_number": "618-233-0308",
            "fax_number": "618-233-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W LINCOLN ST",
            "address_2": "SUITE 306",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201987",
            "telephone_number": "618-233-0308",
            "fax_number": "618-233-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DUK",
        "middle_name": "CHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36050757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050757",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "791112090A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "100692",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "371054015",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0008200412",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imran Khan
• Jawad Khan, M.D.
• Muhammad Owais Khan, MD
• Waqqas H Khan, MD
• Daniel Hoan Kim, MD
• Kimberly Akins-Mumphard
• Shariya Kimbrough
• Vickie Jo Kimmel
• Stephanie Kippenberger, LCSW
• Bethany Lynn Kipping, M.S., CCC-SLP

• Internal Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.