Individual provider Active NPI

Dongyoung Kim

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1306444955
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14001 E Iliff Ave Ste 215
Aurora, CO 80014-1426
Phone
(303) 341-2277
Fax
(303) 341-7722
NPI assigned
Oct 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14001 E Iliff Ave Ste 215
Aurora, CO 80014-1426

Mailing address

5500 DTC Pkwy Apt 511
Greenwood Village, CO 80111-3166
Phone (347) 343-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224000751 CO Practitioner - Physical Therapist in Private Practice 2961817978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Health, Inc.Group PAC ID 1658398078, 2 clinicians

Practice addresses (Care Compare)

13901 E Exposition Ave
Suite 200
Aurora, CO 80012-2552
Phone (303) 341-2277

14001 E Iliff Ave
Suite 215
Aurora, CO 80014-1426
Phone (303) 341-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Health, Inc. Single Specialty CurrentSince Nov 24, 2020 Accepting new patients

Locations

14001 E Iliff Ave
Ste 215
Aurora, CO 80014
Phone (303) 341-2277

13901 E Exposition Ave
Ste 200
Aurora, CO 80012
Phone (303) 341-2277

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1306444955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DTC PKWY APT 511",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113166",
            "telephone_number": "347-343-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 215",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141426",
            "telephone_number": "303-341-2277",
            "fax_number": "303-341-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONGYOUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.