NPIMap

Individual provider Active NPI

Jay H Kim, MD

  • Urology Physician
  • Durham, NC
National Provider Identifier
1750382909
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
93 00185 Issued in NC
Practice address
205 Frasier St
Durham, NC 27704-2125
Phone
(919) 477-7003
Fax
(919) 471-2827
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 93 00185 NC Primary

Addresses

Primary practice location

205 Frasier St
Durham, NC 27704-2125

Mailing address

205 Frasier St
Durham, NC 27704-2125
Phone (919) 477-7003

Other identifiers 2

IdentifierTypeStateIssuer
48954OtherNCBCBS
8948954MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000696 NC Practitioner - Urology 7618002106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Urology Associates PAGroup PAC ID 2062487911, 4 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

205 Frasier St
Durham, NC 27704-2125
Phone (919) 477-7003

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.59 of 100Reported as group
Quality
48.44
Promoting interoperability
100
Improvement activities
40
Cost
70.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93 00185NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Urology Associates, P.a. Urology CurrentSince May 1, 1996 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 18, 2012 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 18, 2012 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

205 Frasier St
Durham, NC 27704
Phone (919) 477-7003

Interoperability endpoints

  • Direct secure messaging: jaykim@tua.allscriptsdirect.net
  • Direct secure messaging: jkim49810@direct.medicine.duke.edu

Organizations & group practices 4

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 10

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1750382909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FRASIER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042125",
            "telephone_number": "919-477-7003",
            "fax_number": "919-471-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FRASIER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042125",
            "telephone_number": "919-477-7003",
            "fax_number": "919-471-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "93 00185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48954",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948954",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.