Individual provider Active NPI

Eugene J. Kim, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Waxhaw, NC
National Provider Identifier
1568410827
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2011-01831 Issued in NC
Practice address
2700 S Providence Rd
Ste 180
Waxhaw, NC 28173-6313
Phone
(980) 993-6320
NPI assigned
May 5, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011-01831 NC
Pulmonary Disease Physician 207RP1001X 2011-01831 NC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2011-01831 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2011-01831 NC Primary

Addresses

Primary practice location

2700 S Providence Rd
Ste 180
Waxhaw, NC 28173-6313

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1601 Abbey Pl
Ste 200
Charlotte, NC 28209-3835
Phone (704) 512-2980

Other practice location 2

1100 Healing Way
Ste 21A
Matthews, NC 28104-5159
Phone (980) 993-6320

Other practice location 3

1550 Faulk St
Ste 3120
Monroe, NC 28112-5086
Phone (980) 993-6320

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address ekim128494@CarolinasHealthcareSystem.direct-ci.com Atrium Health

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000608 NC Practitioner - Pulmonary Disease 3072538479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000

1100 Healing Way
Matthews, NC 28104-4951

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

1550 Faulk St
Monroe, NC 28112-5087

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01831NCMDSleep Medicine (Internal Medicine) Physician
31406SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Mar 18, 2013 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 18, 2013 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine Past Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Piedmont Pulmonology, LLC Internal Medicine Past Accepting new patients
Union Physicians Network Inc Critical Care Medicine Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1601 Abbey Pl
Ste 200
Charlotte, NC 28209
Phone (704) 510-9900

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1100 Healing Way
Ste 21A
Matthews, NC 28104
Phone (980) 993-6320

1550 Faulk St
Ste 3120
Monroe, NC 28112
Phone (980) 993-6320

2700 S Providence Rd
Ste 1100
Waxhaw, NC 28173

2700 S Providence Rd
Ste 180
Waxhaw, NC 28173
Phone (980) 993-6320

Interoperability endpoints

  • Direct secure messaging: ekim128494@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1568410827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S PROVIDENCE RD",
            "address_2": "STE 180",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736313",
            "telephone_number": "980-993-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Abbey Pl",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093835",
            "country_code": "US",
            "telephone_number": "704-512-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Healing Way",
            "address_2": "Ste 21A",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281045159",
            "country_code": "US",
            "telephone_number": "980-993-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Faulk St",
            "address_2": "Ste 3120",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125086",
            "country_code": "US",
            "telephone_number": "980-993-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUGENE",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01831",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2011-01831",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "2011-01831",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2011-01831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekim128494@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2700 S Providence Rd",
            "address_2": "Ste 180",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.