Active NPI
Walter Hyun Kim, M.D.
- Integrative Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1568451649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 00210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86185 | CA | MD | Clinical Social Worker |
| 64496 | AZ | MD | Medical Oncology Physician |
| A86185 | CA | MD | Nuclear 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.