NPIMap

Individual provider Active NPI

Edward S Kim, MD

  • Pediatric Cardiology Physician
  • Louisville, KY
National Provider Identifier
1609083997
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
40958 Issued in KY
Practice address
601 S Floyd St
Ste 602
Louisville, KY 40202-1845
Phone
(502) 585-4802
Fax
(502) 589-1256
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 40958 KY Primary

Addresses

Primary practice location

601 S Floyd St
Ste 602
Louisville, KY 40202-1845

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 585-4802

Other identifiers 1

IdentifierTypeStateIssuer
7100005500MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address ekim43396@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000483 KY Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274625413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 E Chestnut St
5A
Louisville, KY 40202-1713
Phone (502) 588-7450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC Pediatric Cardiology CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Pediatric Cardiology Associates Pediatric Cardiology Past Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations (25 of 35)

7752 Solution Ctr
Chicago, IL 60677

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632

125 Kingswood Dr
Ste B
Campbellsville, KY 42718

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Ste 306
Corbin, KY 40701

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

1210 W 5th St
London, KY 40741
Phone (606) 864-4030

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

601 S Floyd St
Ste 602
Louisville, KY 40202
Phone (502) 585-4802

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: ekim43396@direct.nortonhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1609083997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-585-4802",
            "fax_number": "502-589-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "STE 602",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021845",
            "telephone_number": "502-585-4802",
            "fax_number": "502-589-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KY",
            "license": "40958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100005500",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "601 S Floyd St",
            "address_2": "Ste 602",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekim43396@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "601 S Floyd St",
            "address_2": "Ste 602",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.