Active NPI
James Y Kim, MD
- Interventional Cardiology Physician
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.138845
- Practice address
- 1325 N Litchfield Rd Ste 130
Goodyear, AZ 85395-1215 - Phone
- (602) 249-8577
- Fax
- (480) 581-9701
- NPI assigned
- Oct 23, 2006
- Last updated
- Feb 11, 2025
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 72935 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 046980 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | N9578 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | 35.138845 | OH | |
| Interventional Cardiology Physician | 207RI0011X | N9578 | TX | |
| Interventional Cardiology Physician | 207RI0011X | ME115431 | FL | |
| Interventional Cardiology Physician | 207RI0011X | 33301 | OK | |
| Interventional Cardiology Physician | 207RI0011X | 35.138845 | OH | Primary |
| Hospitalist Physician | 208M00000X | ME115431 | FL |
Addresses
Primary practice location
1325 N Litchfield Rd Ste 130
Goodyear, AZ 85395-1215
Mailing address
1325 N Litchfield Rd Ste 130
Goodyear, AZ 85395-1215
Phone (602) 249-8577
Other practice location 1
715 Richland Mall
Mansfield, OH 44906-3802
Phone (419) 462-4603
Other practice location 2
987 State Route 97 W
Bellville, OH 44813
Phone (419) 462-4603
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018227700 | Medicaid | FL | |
| 180793 | Medicaid | AZ | |
| 200343530B | Medicaid | OK | |
| 283455803 | Medicaid | TX | |
| 283455802 | Medicaid | TX |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkim865683@direct.osumc.edu | ||
| Direct Messaging Address | jkim865683@direct.osumc.edu | ||
| Direct Messaging Address | james.kim@tenethealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14815 W Bell Rd
Suite 104
Surprise, AZ 85374-7603
Phone (623) 745-4762
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115431 | FL | MD | Interventional Cardiology Physician |
| 35.138845 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Galion Community Hospital | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past | Accepting new patients |
| Georgia Heart & Vascular Center PC | Cardiovascular Disease | Past | Accepting new patients |
| Meyer Cardiology, PC | Cardiovascular Disease | Past | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| PRMC Healthcare Group Inc | Family Medicine | Past | Accepting new patients |
| Lake Cardiovascular Diagnostic Center L.L.C | Cardiovascular Disease | Past | Accepting new patients |
| North Texas Comprehensive Cardiology, PLLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
21250 W Roosevelt St
Ste 306
Buckeye, AZ 85326
Phone (480) 420-0749
525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041
Interoperability endpoints
- dmcjkim@yourcarecommunity.org
- https://api.platform.athenahealth.com/fhir/r4
- https://fhir4.healow.com/fhir/r4/HFIEAD
- james.kim.1@600.direct.athenahealth.com
- jkim865683@direct.osumc.edu
Organizations & group practices 10
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.
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Family Medicine
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Rural Health Clinic/Center
- Bellville, OH
- NPI 1184219859
-
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1417951740
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Family Medicine
-
- Cardiovascular Disease Physician
- Lady Lake, FL
- NPI 1801135173
-
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1437495538
-
- Cardiovascular Disease Physician
- Sherman, TX
- NPI 1902266208
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abrazo West Campus and Abrazo Maryvale Campus
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
-
dba Western Regional Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1710138037
Hospital
-
dba City of Hope Cancer Center Arizona
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1730262882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 N LITCHFIELD RD STE 130",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951215",
"telephone_number": "602-249-8577",
"fax_number": "480-581-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N LITCHFIELD RD STE 130",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951215",
"telephone_number": "602-249-8577",
"fax_number": "480-581-9701"
}
],
"practiceLocations": [
{
"address_1": "715 Richland Mall",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063802",
"country_code": "US",
"telephone_number": "419-462-4603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "987 State Route 97 W",
"address_purpose": "LOCATION",
"city": "Bellville",
"state": "OH",
"postal_code": "44813",
"country_code": "US",
"telephone_number": "419-462-4603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "72935",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "046980",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "N9578",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35.138845",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "N9578",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME115431",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OK",
"license": "33301",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.138845",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME115431",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018227700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180793",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200343530B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283455803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283455802",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim865683@direct.osumc.edu",
"affiliation": "N",
"address_1": "715 Richland Mall",
"city": "Mansfield",
"state": "OH",
"country_code": "US",
"postal_code": "449063802",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim865683@direct.osumc.edu",
"affiliation": "N",
"address_1": "987 State Route 97 W",
"city": "Bellville",
"state": "OH",
"country_code": "US",
"postal_code": "44813",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.kim@tenethealth.com",
"affiliation": "N",
"address_1": "1325 N Litchfield Rd Ste 130",
"city": "Goodyear",
"state": "AZ",
"country_code": "US",
"postal_code": "853951215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.