Individual provider Active NPI

Alice Kim

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1316166531
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD491841 Issued in PA
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-8450
Fax
(401) 444-5088
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD491841 PA Primary
Diagnostic Radiology Physician 2085R0202X LP00500 RI

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8450

Other practice location 1

1250 S Cedar Crest Blvd
Allentown, PA 18103-6224
Phone (610) 402-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100814000209 NY Practitioner - Diagnostic Radiology 3274667118 Reassigns benefits to 6 organizations
I20190524000459 CT Practitioner - Diagnostic Radiology 3274667118 Reassigns benefits to 3 organizations
I20251202000289 PA Practitioner - Diagnostic Radiology 3274667118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians

Practice addresses (Care Compare)

Great Neck, NY 11020
Phone (844) 868-1001

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

1107 Grosser Rd
Gilbertsville, PA 19525-9228

1107 Grosser Rd 3Rd Floor
LVPG Rheumatology Gilbertsville
Gilbertsville, PA 19525-9228
Phone (610) 776-5038

1109 Grosser Rd
Gilbertsville, PA 19525-9228
Phone (484) 498-6060

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1240 S Cedar Crest Blvd
305 LVPG Hematology Oncology
Allentown, PA 18103-6370
Phone (610) 402-9050

1337 Blue Valley Dr
Pen Argyl, PA 18072-1815

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226

1627 W Chew St 3Rd FL
LVPG Mental Health Clinic 17TH St
Allentown, PA 18102-3648
Phone (610) 402-1155

2101 Emerick Blvd
100 LVPG Family and Internal Medicine
Bethlehem, PA 18020-8040
Phone (610) 868-4000

2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 468-6900

2200 Northern Blvd
Greenvale, NY 11548-1220

300 Lackawanna Ave
Scranton, PA 18503-2001
Phone (570) 342-7864

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

326 Washington St
Norwich, CT 06360-2740
Phone (203) 949-2700

3780 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8888

3794 Hecktown Rd
Easton, PA 18045-2355

500 Commack Rd
Unit 150C
Commack, NY 11725-5009
Phone (934) 223-7171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD491841PAMDDiagnostic Radiology Physician
LP00500RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2021 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
New York University CurrentSince Jun 23, 2018 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 12, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 12, 2025 Accepting new patients
New York University CurrentSince Jun 23, 2018 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology PastSince Nov 21, 2021 Accepting new patients

Locations (25 of 96)

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492

101 N Plains Rd
Ste 1A-1
Wallingford, CT 06492
Phone (203) 265-0018

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1316166531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8450",
            "fax_number": "401-444-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8450",
            "fax_number": "401-444-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD491841",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "LP00500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.