Active NPI
David Young Kim
- Neuroradiology Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 25MA09275000
- Practice address
- 11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347 - Phone
- (516) 663-3686
- NPI assigned
- Aug 21, 2007
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 25MA09275000 | NJ | Primary |
Addresses
Primary practice location
11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Mailing address
11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkim269788@nyumc.direct-ci.com | Other | NYU Langone |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 538-2000
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09275000 | NJ | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Radiology Associates of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging of Teaneck Inc. | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Northern Radiology Imaging Center, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Ton Sells Hospital | Past | Accepting new patients |
Locations (25 of 28)
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341
1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085
1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321
690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131
1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100
16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 16
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.
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1699759183
NY
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Urology Physician
- Englewood, NJ
- NPI 1831405000
-
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- Mobile Radiology Clinic/Center
- Teaneck, NJ
- NPI 1164466926
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1548453764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "516-663-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "YOUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NJ",
"license": "25MA09275000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkim269788@nyumc.direct-ci.com",
"affiliation": "Y",
"affiliationName": "NYU Langone",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"address_1": "11995 Singletree Ln",
"address_2": "STE 500",
"city": "Eden Prairie",
"state": "MN",
"country_code": "US",
"postal_code": "553445347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.