Active NPI
Lawrence Thomas Kim, M.D.
- Surgery Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2013-02274
- Practice address
- 170 Manning Dr
CB #7213
Chapel Hill, NC 27599-7213 - Phone
- (919) 966-5221
- Fax
- (919) 966-8806
- NPI assigned
- Aug 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H4464 | TX | |
| Surgery Physician | 208600000X | 2013-02274 | NC | Primary |
Addresses
Primary practice location
170 Manning Dr
CB #7213
Chapel Hill, NC 27599-7213
Mailing address
170 Manning Dr
CB #7213
Chapel Hill, NC 27599-7213
Phone (919) 966-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P085A2808 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- University of Texas Southwestern Medical School at Dallas, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
102 Mason Farm Rd
Chapel Hill, NC 27514-4617
430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000
460 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000
6715 McCrimmon Pkwy
Cary, NC 27519-1916
Hospital & facility affiliations
- Unc Hospitals
- Rex Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02274 | NC | MD | Surgery Physician |
| H4464 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Surgery | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Park Ophthalmology | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 204
Cary, NC 27519
Phone (919) 481-4747
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
Interoperability endpoints
- lkim30705@direct.unc.nchie.net
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Surgery
-
- Clinic/Center
- Chapel Hill, NC
- NPI 1285689299
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1487768818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MANNING DR",
"address_2": "CB #7213",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997213",
"telephone_number": "919-966-5221",
"fax_number": "919-966-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MANNING DR",
"address_2": "CB #7213",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997213",
"telephone_number": "919-966-5221",
"fax_number": "919-966-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LAWRENCE",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "H4464",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2013-02274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P085A2808",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.