Individual provider Active NPI

Hong J Kim, M.D.

  • Diagnostic Radiology Physician
  • Evanston, IL
National Provider Identifier
1356328256
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-101586 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 982-6710
NPI assigned
Dec 30, 2005
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 036-101586 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

4901 Searle Pkwy
Skokie, IL 60077-5313

Other practice location 1

1501 S California Ave
Chicago, IL 60608-1732
Phone (773) 257-6498

Other identifiers 1

IdentifierTypeStateIssuer
036-101586-4MedicaidIL

Other names 1

  • Richard H Kim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 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
I20031219000669 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0547168213 Reassigns benefits to 4 organizations
I20140320001034 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0547168213 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6592TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Envision Medical Imaging, LLC Diagnostic Radiology CurrentSince Apr 3, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Feb 27, 2003 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Feb 27, 2014 Accepting new patients
Prime Medical Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Mount Sinai Community Foundation CurrentSince Feb 27, 2003 Accepting new patients
Fox Valley Pain Center Service Corporation Past Accepting new patients
Munster Radiology Group PC Diagnostic Radiology Past Accepting new patients
Illinois Bone and Joint Institute Past Accepting new patients
Germbusters, PC Past Accepting new patients
Diagnostic Imaging Associates, LTD. Diagnostic Radiology Past Accepting new patients
Pulmonary & Critical Care Medicine Specialists SC Past Accepting new patients
Mediscan Imaging Center of Rockford LLC Diagnostic Radiology Past Accepting new patients
Hampshire Clinic SC Past Accepting new patients
Endeavor Health Clinical Operations PastSince Apr 13, 2025 Accepting new patients
Illinois Bone and Joint Institute, LLC Past Accepting new patients
Elgin Nephrology Associates., S.C. PastSince Jan 1, 1994 Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

3537 Paysphere Cir
Chicago, IL 60674

9532 Eagle Way
Chicago, IL 60678

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

900 N Westmoreland Rd
Ste LL72
Lake Forest, IL 60045
Phone (847) 247-4000

8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453

9000 Waukegan Rd
Ste 110
Morton Grove, IL 60053
Phone (847) 213-2700

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
  • FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1356328256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 SEARLE PKWY",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-982-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081732",
            "country_code": "US",
            "telephone_number": "773-257-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HONG",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-101586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-101586-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "KIM",
            "middle_name": "H",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.