Individual provider Active NPI

Han Kim, MD

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1396716205
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD036888 Issued in DC
Practice address
700 2ND St NE
Washington, DC 20002-8100
Phone
(202) 234-6300
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD036888 DC Primary

Addresses

Primary practice location

700 2ND St NE
Washington, DC 20002-8100

Mailing address

700 2ND St NE
Washington, DC 20002-8100

Other practice location 1

2041 Georgia Ave NW
Howard Univ Hospital, Dept of Radiology
Washington, DC 20060-0001
Phone (757) 553-2490

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, GA, OH, FL, IL, NC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20120918000102 DC Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 1 organization
I20210810000419 GA Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 1 organization
I20240529002445 OH Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 2 organizations
I20240701003708 FL Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 2 organizations
I20251126001164 IL Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 1 organization
I20251231000110 NC Practitioner - Diagnostic Radiology 3577711597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Pinehurst Radiology Group P aGroup PAC ID 3678547536, 20 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
CT at MidtownGroup PAC ID 9335045681, 34 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

1413 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1878

15 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 295-5511

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000

1602 Westover Dr
Sanford, NC 27330-7026
Phone (919) 897-2250

1690 US Hwy 15
Suite 100
Southern Pines, NC 28387-7037
Phone (910) 684-5066

1818 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 777-9005

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 235-5511

225 Capital Dr
Suite 101
Carthage, NC 28327-6261
Phone (910) 215-5115

2919 Beechtree Dr
Sanford, NC 27330-6934
Phone (919) 897-2260

355 S Bennett St
Southern Pines, NC 28387-5403
Phone (910) 295-4400

3716 Morganton Rd
Fayetteville, NC 28303-4963
Phone (910) 565-5159

39 Lasswade Dr
Pinehurst, NC 28374-6703
Phone (910) 420-2932

427 N Oak Park Ave
Oak Park, IL 60302-2122
Phone (757) 553-2490

4565 Fayetteville Rd
Raeford, NC 28376-7998
Phone (910) 878-5100

520 Allen St
Troy, NC 27371-2802
Phone (910) 571-5000

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

6408 Fayetteville Rd
Raeford, NC 28376-7977
Phone (910) 878-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients
Proscan Open MRI East, LTD. Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Nchmd, Inc CurrentSince Oct 1, 2024 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Proscan Imaging Gahanna, LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Proscan Tylersville, LLC Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Stadium Open MRI, LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Cincinnati Imaging Leasing Company, LTD. Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Proscan Imaging of Pickerington, LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
The Southeast Permanente Medical Group Diagnostic Radiology CurrentSince Aug 5, 2021 Accepting new patients
Dublin Diagnostic Imaging LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Nchmd Inc CurrentSince Oct 1, 2024 Accepting new patients
Pinehurst Radiology Group P a CurrentSince Oct 27, 2025 Accepting new patients
Proscan Imaging of Greenwood, LLC Diagnostic Radiology CurrentSince Aug 7, 2024 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Proscan Open MRI North, LTD. Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Western Hills Open MRI, LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Howard University Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

801 Vanderbilt Beach Rd
Naples, FL 34108
Phone (239) 594-7636

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1396716205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028100",
            "telephone_number": "202-234-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW",
            "address_2": "Howard Univ Hospital, Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200600001",
            "country_code": "US",
            "telephone_number": "757-553-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD036888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "700 2nd St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200028100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.