Individual provider Active NPI

Taeha Kim

  • Pulmonary Disease Physician
  • Madison, WI
National Provider Identifier
1457762205
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
72837 Issued in WI
Practice address
202 S Park St
Madison, WI 53715-1507
Phone
(608) 417-5950
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 72837 WI Primary

Addresses

Primary practice location

202 S Park St
Madison, WI 53715-1507

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200901003313 WI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4486922671 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince May 1, 2023 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 1, 2020 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 1, 2020 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Pulmonary Disease CurrentSince Sep 1, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 1, 2020 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 1, 2020 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 1, 2020 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 1, 2020 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jan 20, 2024 Accepting new patients
St. Joseph'S Health Services, Inc CurrentSince Sep 1, 2020 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 1, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1830 State Highway 9
Decorah, IA 52101
Phone (563) 382-2639

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: tkim437658@direct.emplifyhealth.org

Organizations & group practices 23

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 23

Hospital & facility affiliations 10

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1457762205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAEHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "72837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.