Individual provider Active NPI

Andrew Myungjean Kim, M.D.

  • Diagnostic Radiology Physician
  • Usaf Academy, CO
National Provider Identifier
1396108023
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30270 Issued in NE
Practice address
10TH MDG, 4102 Pinion Dr
Usaf Academy, CO 80840
Phone
(410) 693-4058
NPI assigned
Mar 31, 2016
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, ME5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211116001426 CO Practitioner - Diagnostic Radiology 1951790781 Reassigns benefits to 17 organizations
I20240917004676 FL Practitioner - Diagnostic Radiology 1951790781 Reassigns benefits to 3 organizations
I20250106000343 IN Practitioner - Diagnostic Radiology 1951790781 Reassigns benefits to 3 organizations
I20250227002523 DC Practitioner - Diagnostic Radiology 1951790781 Reassigns benefits to 1 organization
I20260429002069 ME Practitioner - Diagnostic Radiology 1951790781 Reassigns benefits to 1 organization

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
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Greene County General HospitalGroup PAC ID 2961481544, shared by 10 NPIs, 102 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Tulsa X-Ray Laboratory PLLCGroup PAC ID 6103302724, 31 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

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

LicenseStateTypeSpecialty
01094259AINMDDiagnostic Radiology Physician
MD28523MEMDDiagnostic Radiology Physician
30270NEMDDiagnostic Radiology Physician
33521NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Mar 29, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Oct 8, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Apr 14, 2025 Accepting new patients
Greene County General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Apr 6, 2025 Accepting new patients
Reid Physician Associates, Inc. CurrentSince May 11, 2026 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Oct 15, 2024 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jan 1, 2025 Accepting new patients
Reid Physician Associates, Inc CurrentSince May 11, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Dimensions Healthcare Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Oct 15, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Henry County Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Adventhealth Imaging Center Innovation CurrentSince Oct 7, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Rome Radiology Group, PA Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Henry County Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 23, 2025 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

  • Direct secure messaging: akim3041743@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 29

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.