Active NPI
Taik H Kim, MD
- Radiation Oncology Physician
- Kingston, NY
National Provider Identifier
1487633723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 154290
- Practice address
- 111 Marys Ave
Kingston, NY 12401-5852 - Phone
- (845) 339-7700
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 154290 | NY | Primary |
Addresses
Primary practice location
111 Marys Ave
Kingston, NY 12401-5852
Mailing address
1020A E Boal Ave
Boalsburg, PA 16827-1509
Phone (814) 237-8627
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0885566 | Other | NY | AETNA USHC |
| 2329614 | Other | NY | AETNA USHC HMO |
| 9567121 | Other | NY | GHI PPO |
| P2548529 | Other | NY | OXFORD LIBERTY |
| 15D911 | Other | NY | EMPIRE BCBS |
| 397001 | Other | NY | MVP |
| 00824153 | Medicaid | NY | |
| 397114 | Other | NY | MVP |
| 4336394 | Other | NY | AETNA USHC PPO |
| 0034642 | Other | NY | GHI |
| 13261 | Other | NY | GHI |
| 930711 | Other | NY | EMPIRE BCBS |
| 000470811002 | Other | NY | BCBS NE NY |
| 10038783 | Other | NY | CDPHP |
| 000478081002 | Other | NY | BCBS NE NY |
| P2548529 | Other | NY | OXFORD FREEDOM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingston Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Radiation Oncology Physician
- Kingston, NY
- NPI 1356320972
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487633723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020A E BOAL AVE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271509",
"telephone_number": "814-237-8627",
"fax_number": "814-238-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015852",
"telephone_number": "845-339-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAIK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "154290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "0885566",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "2329614",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "9567121",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD LIBERTY",
"identifier": "P2548529",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "15D911",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "397001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00824153",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "397114",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC PPO",
"identifier": "4336394",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0034642",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "13261",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "930711",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE NY",
"identifier": "000470811002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10038783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE NY",
"identifier": "000478081002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD FREEDOM",
"identifier": "P2548529",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.