Active NPI
Andrew Myungjean Kim, M.D.
- Diagnostic Radiology Physician
- Usaf Academy, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30270
- Practice address
- 10TH MDG, 4102 Pinion Dr
Usaf Academy, CO 80840 - Phone
- (410) 693-4058
- NPI assigned
- Mar 31, 2016
- Last updated
- Mar 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33521 | NH | |
| Diagnostic Radiology Physician | 2085R0202X | 30270 | NE | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01094259A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | MD28523 | ME |
Addresses
Primary practice location
10TH MDG, 4102 Pinion Dr
Usaf Academy, CO 80840
Mailing address
10TH MDG, 4102 Pinion Dr
Usaf Academy, CO 80840
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735
Other practice location 2
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (207) 662-4735
Other practice location 3
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8895
Other practice location 4
489 State St
Bangor, ME 04401-6616
Phone (207) 662-4735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL, IN, DC, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greene County General Hospital
Practice addresses (Care Compare)
Monument, CO 80132
Phone (800) 737-5654
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054
11960 Lioness Way
140 Simonmed Imaging Parker
Parker, CO 80134-5643
Phone (303) 643-0200
1825 Starstone CT
Colorado Springs, CO 80919-2912
Phone (918) 934-8347
19085 White Fawn Dr
Monument, CO 80132-8975
Phone (407) 200-2355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01094259A | IN | MD | Diagnostic Radiology Physician |
| MD28523 | ME | MD | Diagnostic Radiology Physician |
| 30270 | NE | MD | Diagnostic Radiology Physician |
| 33521 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tulsa X-Ray Laboratory PLLC | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Physicians of Shelbyville PC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Greene County General Hospital | Current | Accepting new patients | |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dimensions Healthcare Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Adventhealth Imaging Center Innovation | Current | Accepting new patients | |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Rome Radiology Group, PA | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Sheridan Radiology Services of West Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200
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
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
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
316 N Broad St
Ste 230
Winder, GA 30680
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone 26043215688225
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
489 State St
Bangor, ME 04401
Phone (207) 973-8837
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- akim3041743@carolinashealthcaresystem.direct-ci.com
- akim687587@direct.umm.edu
Organizations & group practices 29
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.
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
CO
-
dba AdventHealth Medical Group Radiology
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
CO
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
CO
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
CO
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
CO
-
dba Tulsa Diagnostic Interventional Radiology
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1144211582
CO
-
dba University of Maryland Capital Region Health Medical Group
- Internal Medicine Physician
- Laurel, MD
- NPI 1487714168
CO, Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba AdventHealth Zephyrhills
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1396108023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10TH MDG, 4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "80840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10TH MDG, 4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "80840",
"telephone_number": "410-693-4058"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-4735",
"fax_number": "207-662-6388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "207-662-4735",
"fax_number": "207-662-6388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Reid Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-935-8895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "489 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016616",
"country_code": "US",
"telephone_number": "207-662-4735",
"fax_number": "207-662-6388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ANDREW",
"middle_name": "MYUNGJEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "33521",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "30270",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01094259A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD28523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.