Individual provider Active NPI

David Young Kim

  • Neuroradiology Physician
  • Eden Prairie, MN
National Provider Identifier
1548453764
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
25MA09275000 Issued in NJ
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

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130607000239 NJ Practitioner - Diagnostic Radiology 7012155732 Reassigns benefits to 1 organization
I20161207001290 NY Practitioner - Diagnostic Radiology 7012155732 Reassigns benefits to 2 organizations
I20170812000095 TX Practitioner - Diagnostic Radiology 7012155732 Reassigns benefits to 4 organizations
I20260318003252 FL Practitioner - Diagnostic Radiology 7012155732 Reassigns benefits to 1 organization

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 UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
25MA09275000NJMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Ton San Xavier Health Center CurrentSince Jul 2, 2017 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Oct 31, 2018 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 4, 2018 Accepting new patients
New York University CurrentSince Oct 2, 2025 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Ton Sells Hospital CurrentSince Jul 2, 2017 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 4, 2018 Accepting new patients
Ton San Simon Health Center CurrentSince Jul 2, 2017 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 PastSince Feb 21, 2021 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.

View all 16

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.