Individual provider Active NPI

Walter Hyun Kim, M.D.

  • Integrative Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1568451649
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
00210 Issued in AZ
Practice address
16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798
Phone
(866) 792-1191
Fax
(949) 703-8203
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 00210 AZ Primary
General Practice Physician 208D00000X 64496 AZ
Nuclear Medicine Physician 207U00000X 64496 AZ

Addresses

Primary practice location

16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798

Mailing address

16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798
Phone (866) 792-1191

Other practice location 1

8777 E Hartford Dr
Scottsdale, AZ 85255-5690
Phone (602) 569-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 4, 2025 through Aug 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86185CAMDClinical Social Worker
64496AZMDMedical Oncology Physician
A86185CAMDNuclear Imaging & Therapy Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1568451649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 N SCOTTSDALE RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541798",
            "telephone_number": "866-792-1191",
            "fax_number": "949-703-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 N SCOTTSDALE RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541798",
            "telephone_number": "866-792-1191",
            "fax_number": "949-703-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8777 E Hartford Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852555690",
            "country_code": "US",
            "telephone_number": "602-569-4144",
            "fax_number": "480-498-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "WALTER",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "AZ",
            "license": "00210",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "64496",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "AZ",
            "license": "64496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.