NPIMap

Individual provider Active NPI

Thomas Y Kim, MD

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1669472759
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-101858 Issued in IL
Practice address
415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Phone
(847) 593-5511
Fax
(847) 593-0872
NPI assigned
Jul 29, 2005
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-101858 IL Primary

Addresses

Primary practice location

415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929

Mailing address

415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Phone (847) 593-5511

Other identifiers 2

IdentifierTypeStateIssuer
1615125OtherILBLUE SHIELD GROUP #
0607120001OtherILCIGNA GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100407000439 IL Practitioner - Orthopedic Surgery 1759321433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates, SCGroup PAC ID 0840241709, 6 clinicians

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone 8475935511230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement56
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101858ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates, SC Orthopaedic Surgery CurrentSince Jun 1, 2000 Accepting new patients

Locations

415 W Golf Rd
Ste 68
Arlington Hts, IL 60005
Phone (847) 439-4447

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCBDCA

Organizations & group practices 1

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 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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669472759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 68",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-593-5511",
            "fax_number": "847-593-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 68",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-593-5511",
            "fax_number": "847-593-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-101858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "1615125",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP #",
            "identifier": "0607120001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.