Individual provider Active NPI

Min Sun Kim, MD

  • Surgery Physician
  • Maryville, TN
National Provider Identifier
1740227339
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
72778 Issued in TN
Practice address
405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone
(865) 238-6430
Fax
(865) 238-6444
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D66122 MD
Surgery Physician 208600000X 72778 TN Primary

Addresses

Primary practice location

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
Q099228MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070904000495 DC Practitioner - General Surgery 8921073990 Reassigns benefits to 1 organization
I20240109000017 MD Practitioner - General Surgery 8921073990 Reassigns benefits to 2 organizations
I20250212003826 TN Practitioner - General Surgery 8921073990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 16, 2024 Accepting new patients
Johns Hopkins University Surgery CurrentSince Nov 30, 2023 Accepting new patients
Johns Hopkins University CurrentSince Nov 30, 2023 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Feb 3, 2025 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 16, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Budayr & Associates Surgery PastSince Feb 3, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

600 N Wolfe St
Baltimore, MD 21287

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9715 Medical Center Dr
Ste 233
Rockville, MD 20850
Phone (240) 403-0621

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

405 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6430

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

405 Bmh Physicians Office Bldg
Bldg Bmpg
Maryville, TN 37804

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Interoperability endpoints

  • Direct secure messaging: mkim864023@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: min.kim.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1740227339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BMH PHYSICIANS OFFICE BLDG",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045807",
            "telephone_number": "865-238-6430",
            "fax_number": "865-238-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D66122",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "72778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q099228",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.