Active NPI
Min Sun Kim, MD
- Surgery Physician
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 72778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q099228 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430
Hospital & facility affiliations
- Blount Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Johns Hopkins University | Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| Capitol Cardiology Associates, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Budayr & Associates | Surgery | Past | 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
- mkim864023@direct.ghs.myhfn.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Cardiovascular Disease Physician
- Lanham, MD
- NPI 1609855733
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Surgery Physician
- Baltimore, MD
- NPI 1689655219
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Colon & Rectal Surgery Physician
- Maryville, TN
- NPI 1053349084
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.