Active NPI
Joseph Hyungeun Kim, DPM
- Podiatrist
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC007191
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 594-5915
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC007191 | PA | Primary |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 594-5915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone (570) 808-5135
1175 E Mountain Blvd
Suite 150723
Wilkes Barre, PA 18702-7906
Phone (570) 808-1093
1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3181
436 W Valley Ave
Elysburg, PA 17824-7247
Phone (570) 672-1101
Hospital & facility affiliations
- Geisinger Wyoming Valley Medical Center
- Geisinger Medical Center
- Geisinger-Community Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 77 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007191 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Podiatrist | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
Interoperability endpoints
- jkim462332@direct.geisinger.edu
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Podiatrist
- Danville, PA
- NPI 1043405897
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
Hospital & facility affiliations 56
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1326626342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102369",
"telephone_number": "570-594-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102369",
"telephone_number": "570-594-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOSEPH",
"middle_name": "HYUNGEUN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC007191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.