Individual provider Active NPI

Joshua Kim, DPM

  • Podiatrist
  • Portsmouth, VA
National Provider Identifier
1386205839
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301354 Issued in VA
Practice address
3511 Western Branch Blvd
Portsmouth, VA 23707-3133
Phone
(757) 397-3668
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 0103301354 VA Primary

Addresses

Primary practice location

3511 Western Branch Blvd
Portsmouth, VA 23707-3133

Mailing address

1007 Beringer Rd Apt 303
Suffolk, VA 23435-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701000234 VA Practitioner - Podiatry 9638559024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Pleasure House Rd
Suite 101
Virginia Beach, VA 23455-4053
Phone (757) 934-0768

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
69.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of skin lesions19
Removal of nail tissue846
Removal or shaving of skin growth378
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
1Foot 2Foot Centre for Foot and Ankle Care, PC Podiatrist CurrentSince Apr 1, 2023 Accepting new patients
1Foot 2Foot Centre for Foot and Ankle Care, PC Podiatrist CurrentSince Apr 1, 2023 Accepting new patients
Podiatry LTD CurrentSince Jul 18, 2022 Accepting new patients

Locations

109 Wimbledon Sq
Ste F
Chesapeake, VA 23320
Phone (757) 436-9898

3511 Western Branch Blvd
Portsmouth, VA 23707
Phone (757) 397-3668

5835 Harbour View Blvd
Ste A
Suffolk, VA 23435
Phone (757) 384-6617

171 N Main St
Suffolk, VA 23434
Phone (757) 934-0768

1700 Pleasure House Rd
Ste 101
Virginia Beach, VA 23455
Phone (757) 363-3338

Organizations & group practices 3

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 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1386205839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BERINGER RD APT 303",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234350109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 WESTERN BRANCH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073133",
            "telephone_number": "757-397-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSHUA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.