Individual provider Active NPI

Joy Catherine Kim, MD

  • General Practice Physician
  • New Martinsville, WV
National Provider Identifier
1316409121
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
32133 Issued in WV
Practice address
3 E Benjamin Dr
New Martinsville, WV 26155-2758
Phone
(304) 455-8000
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 32133 WV Primary

Addresses

Primary practice location

3 E Benjamin Dr
New Martinsville, WV 26155-2758

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Other practice location 1

450 Clarkson Ave Dept Of
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230329000244 WV Practitioner - General Practice 4880064021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wetzel County Hospital IncGroup PAC ID 4284065400, 49 clinicians

Practice addresses (Care Compare)

100 Paducah Dr
New Martinsville, WV 26155-2710
Phone (304) 455-3611

150 Paducah Dr
New Martinsville, WV 26155-2710
Phone (304) 455-8190

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Stonerise Home Health Home health agency, New Martinsville, WV, CCN 517138
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Hospital, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Wetzel County Hospital Association Past Accepting new patients

Locations

150 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-8190

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Organizations & group practices 3

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 5

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1316409121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552758",
            "telephone_number": "304-455-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "32133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.