Active NPI
Hong Jin Kim, MD
- Surgical Oncology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 101079
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27599 - Phone
- (919) 966-8596
- Fax
- (919) 843-5515
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20101079 | NC | |
| Surgical Oncology Physician | 2086X0206X | 101079 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27599
Mailing address
143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 966-8596
Other practice location 1
2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476
Phone (919) 784-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- University of Virginia School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
2801 Blue Ridge Rd
Raleigh, NC 27607-0114
Phone (984) 974-0500
Hospital & facility affiliations
- Unc Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20101079 | NC | MD | Surgery Physician |
| 101079 | NC | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Surgery | Current | Accepting new patients |
| Park Ophthalmology | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2800 Blue Ridge Rd
Ste 300
Raleigh, NC 27607
Phone (919) 784-8346
Interoperability endpoints
- hkim12334@direct.unc.nchie.net
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Surgery
-
- Clinic/Center
- Chapel Hill, NC
- NPI 1285689299
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1679667646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 W FRANKLIN ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275162539",
"telephone_number": "919-966-8596",
"fax_number": "919-843-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27599",
"telephone_number": "919-966-8596",
"fax_number": "919-843-5515"
}
],
"practiceLocations": [
{
"address_1": "2800 Blue Ridge Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076476",
"country_code": "US",
"telephone_number": "919-784-7874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HONG JIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "20101079",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NC",
"license": "101079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.