NPIMap

Individual provider Active NPI

Jooman Shim, M.D.

  • Vascular & Interventional Radiology Physician
  • Springfield, MO
National Provider Identifier
1649513052
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA10115400 Issued in NJ
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 875-3000
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2023001660 MO
Vascular & Interventional Radiology Physician 2085R0204X 289367 NY
Vascular & Interventional Radiology Physician 2085R0204X 25 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA10115400 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

Other identifiers 1

IdentifierTypeStateIssuer
200018097MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NJ, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141002002398 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5799905329 Reassigns benefits to 1 organization
I20171219003275 NJ Practitioner - Diagnostic Radiology 5799905329 Reassigns benefits to 3 organizations
I20250916001405 NY Practitioner - Diagnostic Radiology 5799905329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

13527 38TH Ave
FL 2
Flushing, NY 11354-4449
Phone (718) 886-5068

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

4 Briarfield Dr
Great Neck, NY 11020-1410
Phone (585) 218-8006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Village Imaging, LLC CurrentSince Jun 11, 2018 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 11, 2023 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Oct 6, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Current Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 10, 2025 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 10, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Coastal Imaging LLC CurrentSince Oct 17, 2017 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

835 61st St
Ste 101
Brooklyn, NY 11220
Phone (718) 686-0895

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 362-6966

Organizations & group practices 10

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 6

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1649513052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIM",
        "first_name": "JOOMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2023001660",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "289367",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA10115400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200018097",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.