Organization Active NPI

Luke Y. Kim, MD, PC

  • Physical Medicine & Rehabilitation Physician
  • Ann Arbor, MI
National Provider Identifier
1366621385
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LUKE Y. KIM, MD, PC
Practice address
2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738
Phone
(734) 434-2477
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Luke Y Kim
Title
MD
Phone
(734) 434-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738

Mailing address

2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738

National Provider Directory

National Provider Directory

Locations

2004 Hogback Rd
Ste 6
Ann Arbor, MI 48105
Phone (734) 434-2477

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1366621385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HOGBACK RD STE 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HOGBACK RD STE 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059738",
            "telephone_number": "734-434-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE Y. KIM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "734-434-2477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.