Kent C Kim, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB10074100 Issued in NJ

Practice address

29888 Kenloch Dr
Farmington Hills, MI 48331-1920

Phone

(248) 943-5092

NPI assigned

Jun 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Emergency Medicine

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Union Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Union, NJ
  • NPI 1689847352
  Medicare reassignment Care Compare group NPD
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment NPD
• Middlesex Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Edison, NJ
  • NPI 1811921760
  Medicare reassignment NPD
• Passaic River Physicians, LLC

  • Emergency Medicine Physician
  • Paterson, NJ
  • NPI 1962162644
  Medicare reassignment NPD
• Plainfield Emergency Physicians, PA

  • Emergency Medicine Physician
  • Plainfield, NJ
  • NPI 1659309680
  Medicare reassignment NPD
• Passaic River Physicians, LLC

  • Emergency Medicine Physician
  • Wayne, NJ
  • NPI 1124788807
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1457799041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29888 KENLOCH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311920",
            "telephone_number": "248-943-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29888 KENLOCH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311920",
            "telephone_number": "248-943-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10074100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Kim, BCBA
• Hannah Kim
• Inja Kim
• Joanna Kim
• Kanisha Kim
• Mira Kim
• Rachel Kim
• Sarah Kim
• Sunhong Kim
• Victoria Kim

• Emergency Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.