Susie H Kim-Maulsby, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35-078938 Issued in OH

Practice address

5400 Kennedy Ave
Cincinnati, OH 45213-2664

Phone

(513) 281-3400

Fax

(513) 527-2275

NPI assigned

Jun 14, 2005

Last updated

Jan 28, 2013By the provider in NPPES

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

Other identifiers 3

Other names 1

• Dr. Susie Hyun Kim Former name

Medicare fee-for-service enrollment

Enrolled in FL, OH, KY, MI4 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

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians

Nicholasville Road MRI, LLCGroup PAC ID 5395718670, 23 clinicians

Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score

19.04 of 100Reported as group

Quality

4.75

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1588654610
  Medicare reassignment Care Compare group NPD
• Nicholasville Road MRI, LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1740270818
  Medicare reassignment Care Compare group NPD
• Proscan NCH Imaging LLC

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1003406711
  Medicare reassignment Care Compare group NPD
• Proscan Radiology Northern Kentucky, LLC

  • Diagnostic Radiology Physician
  • Crestview Hills, KY
  • NPI 1225535966
  Medicare reassignment Care Compare group NPD
• CT at Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1508856667
  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD
• Proscan Imaging Southfield PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1023572831
  Medicare reassignment NPD
• Cincinnati Imaging Leasing Company, LTD.

  dba ProScan Imaging Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1447240502
  NPD
• Dublin Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093249781
  NPD
• Dublin Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Dublin, OH
  • NPI 1760447924
  NPD
• Proscan Imaging Gahanna, LLC

  dba Proscan Imaging Gahanna

  • Diagnostic Radiology Physician
  • Gahanna, OH
  • NPI 1912997032
  NPD
• Proscan Imaging of Pickerington, LLC

  • Diagnostic Radiology Physician
  • Pickerington, OH
  • NPI 1629036223
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1720083041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400",
            "fax_number": "513-527-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400",
            "fax_number": "513-527-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-MAULSBY",
        "first_name": "SUSIE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-078938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271414100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64086820",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2311751",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "KIM",
            "middle_name": "HYUN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan E Kilian, MD
• Cara R Killgore, MD
• Shawnna Renee Killings, STNA
• Lenzi Colleen Kiluba, CNP
• Kim Oberlander
• Cassandra Kim
• Charles Chungson Kim, M.D.
• Daniel Kim, DO
• Daniel Renner Kim, MD
• Dong-Sik Kim, MD

• Diagnostic Radiology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.

Verify at the official NPI Registry.