Individual provider Active NPI

James Y Kim, MD

  • Interventional Cardiology Physician
  • Goodyear, AZ
National Provider Identifier
1730262882
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.138845 Issued in OH
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018227700MedicaidFL
180793MedicaidAZ
200343530BMedicaidOK
283455803MedicaidTX
283455802MedicaidTX

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018002897 AZ Practitioner - Interventional Cardiology 1254417785 Reassigns benefits to 1 organization

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
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115431FLMDInterventional Cardiology Physician
35.138845OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 14, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Galion Community Hospital PastSince Mar 7, 2021 Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Jun 1, 2004 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 PastSince Mar 1, 2015 Accepting new patients
North Texas Comprehensive Cardiology, PLLC Cardiovascular Disease PastSince May 1, 2024 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

  • Direct secure messaging: dmcjkim@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFIEAD
  • Direct secure messaging: james.kim.1@600.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.