Min Cheol Kim, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36025 Issued in AZ

Practice address

14155 North 83Rd Avenue
Suite 1103
Peoria, AZ 85381

Phone

(480) 495-6492

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: min.kim.p1@direct.athensretinacenter.nextgenshare.com

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.

• Center for Podiatry Care

  • Podiatrist
  • Martinez, GA
  • NPI 1174695357
  Medicare reassignment NPD
• Valley Retina Surgeons LLC

  • Ophthalmology Physician
  • Glendale, AZ
  • NPI 1306996541
  NPD Authorized official
• Clear Vision Ophthalmology PC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1932306123
  NPD (past)
• The Seeing Hand Association, Inc.

  • Voluntary or Charitable Agency
  • Wheeling, WV
  • NPI 1407943970
  NPD (past)
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295833192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11977",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853181977",
            "telephone_number": "480-495-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 NORTH 83RD AVENUE",
            "address_2": "SUITE 1103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "480-495-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN",
        "middle_name": "CHEOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "36025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Kietur
• Albert Kim, D.C.
• Chris Kim, NP
• Melissa Joy Kim, PA-C
• Miji Kim, RPH
• Kimberly D Nielsen, PLLC
• Chakeela Kimble, OTR/L
• Alesha Ann Kimbrell, MS, BCBA, LBA
• Kind Caregivers at Home
• Kind Hearts Care Services LLC

• Ophthalmology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ophthalmology Physician in Arizona

• 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.

Verify at the official NPI Registry.