Individual provider Active NPI

Cheung K. Kim, M.D.

  • Obstetrics & Gynecology Physician
  • East Norriton, PA
National Provider Identifier
1619996469
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-423503 Issued in PA
Practice address
609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261
Phone
(424) 622-7940
Fax
(484) 622-7950
NPI assigned
Jul 19, 2006
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-423503 PA Primary

Addresses

Primary practice location

609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other identifiers 2

IdentifierTypeStateIssuer
101039791MedicaidPA
0022080MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheung.kim@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040903000603 PA Practitioner - Obstetrics/Gynecology 9537135256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-6784

1245 Highland Ave
Suite 109
Abington, PA 19001-3722

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-423503PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Sep 19, 2022 Accepting new patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Sep 19, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Sep 19, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Sep 19, 2022 Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology PastSince Aug 29, 2021 Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1619996469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 220",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034261",
            "telephone_number": "424-622-7940",
            "fax_number": "484-622-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHEUNG",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD-423503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101039791",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022080",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheung.kim@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "609 W Germantown Pike Ste 220",
            "city": "East Norriton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194034261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.