Individual provider Active NPI

Christopher Y Kim, MD

  • Cardiovascular Disease Physician
  • Farmington, UT
National Provider Identifier
1457650442
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7908694-1205 Issued in UT
Practice address
444 W Bourne Cir Ste 200
Farmington, UT 84025
Phone
(801) 776-0176
Fax
(801) 825-3904
NPI assigned
Mar 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 7608694-1205 UT
Cardiovascular Disease Physician 207RC0000X 7908694-1205 UT Primary

Addresses

Primary practice location

444 W Bourne Cir Ste 200
Farmington, UT 84025

Mailing address

444 W Bourne Cir Ste 200
Farmington, UT 84025-3657
Phone (801) 397-3000

Other practice location 1

5682 S 3500 W Ste 2A
Roy, UT 84067-9108
Phone (801) 776-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20110620000279 UT Practitioner - Cardiovascular Disease (Cardiology) 8820276918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cardiology PCGroup PAC ID 6507763950, 6 clinicians

Practice addresses (Care Compare)

444 W Bourne Cir
Suite 200
Farmington, UT 84025-3657
Phone (801) 397-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Varicose vein removal15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7908694-1205UTMDCardiovascular Disease Physician
7608694-1205UTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Podiatric Physicians and Surgeons Group LLC CurrentSince Sep 10, 2023 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Interventional Cardiology CurrentSince Sep 10, 2023 Accepting new patients
Utah Cardiology PC Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Utah Podiatry Group LLC PastSince Jun 1, 2020 Accepting new patients
Physician Group of Utah Inc PastSince Jul 1, 2011 Accepting new patients

Locations

520 Medical Dr
Ste 310
Bountiful, UT 84010
Phone (801) 397-3000

444 W Bourne Cir
Ste 200
Farmington, UT 84025
Phone (801) 397-3000

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

5682 S 3500 W
#2A
Roy, UT 84067
Phone (801) 776-0174

5682 S 3500 W
Ste 2A
Roy, UT 84067
Phone (801) 776-0174

6321 S Redwood Rd
Ste 102
Taylorsville, UT 84123
Phone (801) 685-7246

1561 W 7000 S
Ste 201
West Jordan, UT 84084
Phone (435) 671-4726

Interoperability endpoints

  • Direct secure messaging: christopher.kim@direct.utahcardiology.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1457650442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W BOURNE CIR STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253657",
            "telephone_number": "801-397-3000",
            "fax_number": "801-397-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W BOURNE CIR STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-776-0176",
            "fax_number": "801-825-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5682 S 3500 W Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Roy",
            "state": "UT",
            "postal_code": "840679108",
            "country_code": "US",
            "telephone_number": "801-776-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTOPHER",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "7608694-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "7908694-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.