Individual provider Active NPI

Min Soo Kim, M.D.

  • Neurology Physician
  • Abington, PA
National Provider Identifier
1326489394
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD487967 Issued in PA
Practice address
1151 Old York Rd Ste 200
Abington, PA 19001-3816
Phone
(215) 957-9250
Fax
(215) 957-9254
NPI assigned
Jul 8, 2013
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD487967 PA Primary

Addresses

Primary practice location

1151 Old York Rd Ste 200
Abington, PA 19001-3816

Mailing address

3804 15TH CT NE
Olympia, WA 98506-3642
Phone (360) 209-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230208001417 DC Practitioner - Neurology 3375846256 Reassigns benefits to 1 organization
I20250122000311 PA Practitioner - Neurology 3375846256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Abington Neurological Associates LTDGroup PAC ID 3274518444, 12 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

2325 Maryland Rd
Suite 120
Willow Grove, PA 19090-1758
Phone (215) 957-9250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as group
Quality
70.87
Promoting interoperability
100
Improvement activities
40
Cost
75.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD487967PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Neurological Associates LTD Neurology CurrentSince Jan 1, 2025 Accepting new patients
Virginia Spine Institute PLC CurrentSince Jan 4, 2023 Accepting new patients
Moore Eye Care, P.C. PastSince Feb 23, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Behavioral Solutions Medical, PC Past Accepting new patients

Locations

1151 Old York Rd
Ste 20
Abington, PA 19001

1151 Old York Rd
Ste 200
Abington, PA 19001
Phone (215) 957-9250

2325 Maryland Rd
Ste 120
Willow Grove, PA 19090
Phone (215) 957-9250

11800 Sunrise Valley Dr
Ste 800
Reston, VA 20191
Phone (703) 709-1114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIGIAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1326489394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 15TH CT NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063642",
            "telephone_number": "360-209-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 OLD YORK RD STE 200",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013816",
            "telephone_number": "215-957-9250",
            "fax_number": "215-957-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN SOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD487967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.