Hyon Su Kim, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.203863 Issued in LA

Practice address

23515 Highway 190
Mandeville, LA 70448-7334

Phone

(504) 250-5415

NPI assigned

Aug 19, 2007

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 LA

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

Doctor of Medicine

Practice roles

Locations

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.

• Chitin Business Solutions LLC

  • Psychiatry Physician
  • Mandeville, LA
  • NPI 1982373288
  Medicare reassignment NPD Authorized official
• Greenbrier Hospital, LLC

  dba Covington Behavioral Health

  • Psychiatric Hospital
  • Covington, LA
  • NPI 1659451664
  Medicare reassignment NPD
• River Oaks Inc

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1528230976
  Medicare reassignment NPD
• River Oaks Inc

  dba River Oaks Hospital

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1851350862
  NPD
• Apollo Behavioral Health Hospital, LLC

  • Psychiatric Hospital
  • Baton Rouge, LA
  • NPI 1154688315
  NPD (past)
• Beacon Behavioral Hospital Northshore, LLC

  • Psychiatric Hospital
  • Lacombe, LA
  • NPI 1508819202

  Psychiatry

  NPD (past)
• Oceans Behavioral Hospital of Kentwood, L.L.C.

  dba Oceans Behavioral Hospital of Kentwood

  • Psychiatric Hospital
  • Hammond, LA
  • NPI 1689897282
  NPD (past)
• Sage LTAC LLC

  dba Sage Specialty Hospital

  • Psychiatric Hospital Unit
  • Denham Springs, LA
  • NPI 1720601586
  NPD (past)

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1700079274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CARDINAL LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716758",
            "telephone_number": "504-250-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 HIGHWAY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487334",
            "telephone_number": "504-250-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYON",
        "middle_name": "SU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-19",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.203863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Keowen, M.A., CCC/SLP
• Peter Khong, PHARMACIST
• Kids in Crisis Project, Inc.
• William James Killam
• Alison Ingles Killebrew
• Eric Kinchen
• Rhys Kinchen, MD
• Lillian King
• Mia King, LPC
• Wendy W King, PT

• Psychiatry Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.