Azalea Kim, M.D., M.P.A, M.B.A

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2018-02648 Issued in NC

Practice address

2111 Woodward Ave Ste 1200
Detroit, MI 48201-3415

Phone

(313) 546-0900

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: azalea.kim.1@27127.direct.athenahealth.com

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.

• Duke University Health System, Inc.

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1992703540
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1649699356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MONTGOMERY AVE # 3",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143304",
            "telephone_number": "914-462-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WOODWARD AVE STE 1200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013415",
            "telephone_number": "313-546-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143304",
            "country_code": "US",
            "telephone_number": "313-546-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "AZALEA",
        "credential": "M.D., M.P.A, M.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-02648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Raleigh Kilts
• Agnieszka Kiluk
• Kim Logan Communications Clinic Inc
• Kim Logan Communications Clinic Inc
• Austin Kim, MD
• Brandon Jiwoo Kim
• Clara H Kim, DDS
• David Daewhan Kim, M.D.
• Dean Y. Kim, M.D.
• Deborah Miyoung Kim, M.D.

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.