Individual provider Active NPI

Hye Kim

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1508277690
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006810 Issued in PA
Practice address
3801 Market Street Medical Arts Building
Suite # 111
Philadelphia, PA 19104-3153
Phone
(215) 662-9563
Fax
(215) 243-4604
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00357200 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X SC006810 PA Primary

Addresses

Primary practice location

3801 Market Street Medical Arts Building
Suite # 111
Philadelphia, PA 19104-3153

Mailing address

3801 Market Street Medical Arts Building
Suite # 111
Philadelphia, PA 19104-3153
Phone (215) 662-9563

Other practice location 1

5000 Dearborn Cir Ste 100B
Mount Laurel, NJ 08054-4108
Phone (215) 662-9563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201117001982 PA Practitioner - Podiatry 2466863766 Reassigns benefits to 2 organizations
I20210119000188 NJ Practitioner - Podiatry 2466863766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

3801 Filbert St 212 Medical Arts
Presby Internal Med
Philadelphia, PA 19104-2640
Phone (215) 662-8978

3801 Market St Mab
111 Podiatry University City
Philadelphia, PA 19104-3153
Phone (215) 662-9563

5000 Dearborn Cir
Suite 100B
Mount Laurel, NJ 08054-4108
Phone (215) 662-9563

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-8290

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of nail tissue318
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 15, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 16, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Oct 10, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 16, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Oct 10, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

5000 Dearborn Cir
Ste 100B
Mount Laurel, NJ 08054
Phone (215) 662-9563

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3801 Market St
Ste 111
Philadelphia, PA 19104
Phone (215) 662-9563

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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 3

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1508277690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARKET STREET MEDICAL ARTS BUILDING",
            "address_2": "SUITE # 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARKET STREET MEDICAL ARTS BUILDING",
            "address_2": "SUITE # 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Dearborn Cir Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544108",
            "country_code": "US",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00357200",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.