Active NPI
Hyo S. Kim, M.D.
- Pain Medicine (Anesthesiology) Physician
- Sterling Heights, MI
National Provider Identifier
1629128038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4301031988
- Practice address
- 37800 Mound Rd
Suite 1
Sterling Heights, MI 48310-4128 - Phone
- (586) 939-7223
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301031988 | MI | Primary |
Addresses
Primary practice location
37800 Mound Rd
Suite 1
Sterling Heights, MI 48310-4128
Mailing address
37800 Mound Rd
Suite 1
Sterling Heights, MI 48310-4128
Phone (586) 939-7223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2122058 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301031988 | MI | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629128038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37800 MOUND RD",
"address_2": "SUITE 1",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104128",
"telephone_number": "586-939-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37800 MOUND RD",
"address_2": "SUITE 1",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104128",
"telephone_number": "586-939-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYO",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301031988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2122058",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.