Individual provider Active NPI

Paul S Kim, M.D.

  • Plastic Surgery Physician
  • Exton, PA
National Provider Identifier
1427074269
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD023838E Issued in PA
Practice address
460 Creamery Way
Suite 110
Exton, PA 19341-2533
Phone
(610) 524-8244
Fax
(610) 524-1182
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD0283838E PA
Plastic Surgery Physician 208200000X MD023838E PA Primary

Addresses

Primary practice location

460 Creamery Way
Suite 110
Exton, PA 19341-2533

Mailing address

460 Creamery Way
Suite 110
Exton, PA 19341-2533
Phone (610) 524-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000260 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5395648422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Massachusetts Medical School, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Skin Cancer Centers of America PLLCGroup PAC ID 6709318439, 2 clinicians
Plastic and Reconstructive Surgery of Chester CountyGroup PAC ID 0941287494, 3 clinicians

Practice addresses (Care Compare)

460 Creamery Way
Suite 104
Exton, PA 19341-2533
Phone (610) 513-1123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision31
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0283838EPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer Centers of America PLLC CurrentSince Jun 19, 2024 Accepting new patients
Arusha LLC Current Accepting new patients

Locations

460 Creamery Way
Ste 110C
Exton, PA 19341

460 Creamery Way
Ste 110
Exton, PA 19341
Phone (215) 524-8244

460 Creamery Way
#S110
Exton, PA 19341
Phone (610) 524-8244

460 Creamery Way
Ste 104
Exton, PA 19341
Phone (610) 280-7960

1109 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-5013

608 Richmond Dr
Ste 103
Lancaster, PA 17601
Phone (610) 596-9002

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1427074269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 110",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-8244",
            "fax_number": "610-524-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 110",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-8244",
            "fax_number": "610-524-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD0283838E",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD023838E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.