Individual provider Active NPI

Jennifer Kim, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1326033366
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38824 Issued in CT
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38824 CT Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other names 1

  • Jennifer Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MI, IL3 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
I20100810000785 CT Practitioner - Diagnostic Radiology 0648225896 Reassigns benefits to 14 organizations
I20220329001553 MI Practitioner - Diagnostic Radiology 0648225896 Reassigns benefits to 2 organizations
I20250729002180 IL Practitioner - Diagnostic Radiology 0648225896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Specialists LTD Marasso-Miller 136 clinicians
Virtual Radiologic Professionals LLC 392 clinicians
United Memorial Medical Center 271 clinicians
Palm Desert Radiology Medical Group Inc 125 clinicians
Golden State Imaging Associates Inc 242 clinicians
Regents of the University of California 2,047 clinicians
Mary Imogene Bassett Hospital 780 clinicians
Renaissance Imaging Medical Associates Inc 126 clinicians
Rochester General Hospital 24 clinicians
The Unity Hospital of Rochester 732 clinicians
Crouse Radiology Associates LLP 105 clinicians

Practice addresses (Care Compare)

New Canaan, CT 06840
Phone (866) 722-1655

221 N Parker Hill Rd
Killingworth, CT 06419-1124
Phone (952) 595-1100

35 Deacons Way
New Canaan, CT 06840-4221
Phone (585) 343-6030

9 Thicket LN
West Hartford, CT 06107-1320
Phone (607) 547-3456

Hospital & facility affiliations

  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38824CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Diagnostic Radiology CurrentSince Aug 2, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 21, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2021 Accepting new patients
Ascension Borgess Lee Hospital Current Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 17, 2022 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 3, 2023 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jan 29, 2023 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jun 6, 2017 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 12, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Feb 4, 2024 Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince Jan 29, 2023 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 21, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
New Haven Radiology Associates PC Past Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
New Haven Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

Interoperability endpoints

  • Direct secure messaging: jek9150@direct.weillcornell.org
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 60

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 60

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1326033366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "38824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BROWN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.