Individual provider Active NPI

Man Hyong Kim, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1366403032
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101036390 Issued in VA
Practice address
110 Kingsley LN
Ste 305
Norfolk, VA 23505-4614
Phone
(757) 889-5422
NPI assigned
Mar 31, 2006
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 0101036390 VA Primary

Addresses

Primary practice location

110 Kingsley LN
Ste 305
Norfolk, VA 23505-4614

Mailing address

PO Box 844555
Boston, MA 02284-4555
Phone (540) 891-8730

Other identifiers 1

IdentifierTypeStateIssuer
7240376MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20090507000499 VA Practitioner - Diagnostic Radiology 9830247543 Reassigns benefits to 6 organizations
I20240129002095 FL Practitioner - Diagnostic Radiology 9830247543 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

Virginia Beach, VA 23462
Phone (800) 737-5654

4544 Columbus St
Apt 1005
Virginia Beach, VA 23462-7543
Phone (407) 200-2355

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101036390VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Diagnostic Radiology CurrentSince Oct 1, 2007 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jan 29, 2024 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Jan 1, 1991 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Apr 15, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 29, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 29, 2024 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jan 29, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Jan 29, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
Open MRI of Southern VA Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1366403032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844555",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022844555",
            "telephone_number": "540-891-8730",
            "fax_number": "540-891-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "STE 305",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-889-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MAN HYONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101036390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7240376",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.