Individual provider Active NPI

Kim L Coleman, M.D.

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1679511828
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9900801 Issued in NC
Practice address
3949 Browning PL
Raleigh, NC 27609-6536
Phone
(919) 787-7411
NPI assigned
Jun 2, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 20498 NE
Diagnostic Radiology Physician 2085R0202X 20498 NE
Diagnostic Radiology Physician 2085R0202X 9900801 NC Primary

Addresses

Primary practice location

3949 Browning PL
Raleigh, NC 27609-6536

Mailing address

3949 Browning PL
Raleigh, NC 27609-6536
Phone (919) 787-7411

Other practice location 1

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-6677

Other practice location 2

3901 Pine Lake Rd
Lincoln, NE 68516-5497
Phone (402) 481-6000

Other identifiers 8

IdentifierTypeStateIssuer
300113527OtherNERR MEDICARE
100366310AMedicaidKS
NA1330018OtherNESMI MEDICARE PIN
03886OtherNEBCBS
281978OtherNEAMI MEDICARE PIN
03145OtherNEBLUE CROSS BLUE SHIELD
0550236MedicaidIA
47078180813MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, CO, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070618000389 NE Practitioner - Diagnostic Radiology 2860597549 Reassigns benefits to 5 organizations
I20170221001097 IA Practitioner - Diagnostic Radiology 2860597549 Reassigns benefits to 1 organization
I20240702001841 CO Practitioner - Diagnostic Radiology 2860597549 Reassigns benefits to 2 organizations
I20250509000081 NC Practitioner - Diagnostic Radiology 2860597549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Radiology Consultants PAGroup PAC ID 4385537992, 59 clinicians
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Bryan Medical CenterGroup PAC ID 4284628652, shared by 7 NPIs, 50 clinicians
Radiologic Center IncGroup PAC ID 1759330731, 20 clinicians

Practice addresses (Care Compare)

Lincoln, NE 68512
Phone (833) 821-3749

Denver, CO 80209
Phone (402) 481-6000

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

2221 S 17TH St
201 Bryan Medical Center Counseling Center
Lincoln, NE 68502-3700
Phone (402) 481-5991

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011

3949 Browning PL
Raleigh, NC 27609-6535

4101 Tiger Lily Rd
Suite 120
Lincoln, NE 68516-5587
Phone (402) 481-7937

800 S Logan St
Kim L Coleman M.D.
Denver, CO 80209-4128
Phone (402) 481-1111

8019 Cass St
Omaha, NE 68114-3525
Phone (402) 390-0606

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20498NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Wake Radiology Consultants PA Pediatric Radiology CurrentSince May 1, 2025 Accepting new patients
Wake Radiology Diagnostic Imaging Inc. Pediatric Radiology CurrentSince May 1, 2025 Accepting new patients
Bryan Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Bryan Medical Center Diagnostic Radiology Current Accepting new patients
Radiologic Center Inc Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Lincoln Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

3949 Browning Pl
Raleigh, NC 27609
Phone (919) 787-8221

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

3901 Pine Lake Rd
Lincoln, NE 68516

8019 Cass St
Omaha, NE 68114
Phone (402) 354-1250

Organizations & group practices 8

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 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1679511828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096536",
            "telephone_number": "919-787-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096536",
            "telephone_number": "919-787-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Pioneers Blvd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "68506",
            "country_code": "US",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Pine Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685165497",
            "country_code": "US",
            "telephone_number": "402-481-6000",
            "fax_number": "402-423-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NE",
            "license": "20498",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20498",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9900801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300113527",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100366310A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMI MEDICARE PIN",
            "identifier": "NA1330018",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03886",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMI MEDICARE PIN",
            "identifier": "281978",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03145",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550236",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078180813",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.