Individual provider Active NPI

Lance Y Kim, DO

  • Neurology Physician
  • Ocala, FL
National Provider Identifier
1366411514
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS7448 Issued in FL
Practice address
2237 SW 19TH Avenue Rd Ste 101
Ocala, FL 34471-7751
Phone
(352) 867-9877
Fax
(352) 291-5096
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X OS7448 FL
Neurology Physician 2084N0400X OS7448 FL Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X OS7448 FL
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X OS7448 FL

Addresses

Primary practice location

2237 SW 19TH Avenue Rd Ste 101
Ocala, FL 34471-7751

Mailing address

2237 SW 19TH Avenue Rd
Ocala, FL 34471-7751
Phone (352) 867-9877

Other identifiers 1

IdentifierTypeStateIssuer
272016700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040625001016 FL Practitioner - Neurology 9133105927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2237 SW 19TH Ave Rd
Suite 101
Ocala, FL 34471-7751
Phone (352) 867-9877

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Ocala, FL, CCN 109532
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Neuroligical Center, LLC Neurology CurrentSince Apr 14, 2024 Accepting new patients
Florida Neurological Center LLC CurrentSince Jan 1, 2004 Accepting new patients

Locations

2237 SW 19th Avenue Rd
#101
Ocala, FL 34471
Phone (352) 867-9877

1503 SW 1st Ave
Ocala, FL 34471
Phone (352) 567-9877

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18517/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGGCA/Endpoint/HIGGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGGCA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1366411514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717751",
            "telephone_number": "352-867-9877",
            "fax_number": "352-867-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 SW 19TH AVENUE RD STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717751",
            "telephone_number": "352-867-9877",
            "fax_number": "352-291-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LANCE",
        "middle_name": "Y",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "OS7448",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS7448",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "OS7448",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "OS7448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272016700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.