Taik-Kun Kim, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D78778 Issued in MD

Practice address

322 E Antietam St Ste 106
Hagerstown, MD 21740-5736

Phone

(301) 739-6147

Fax

(301) 739-6163

NPI assigned

Sep 14, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, PA2 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 2

Specialty

Diagnostic Radiology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Imaging Services LLCGroup PAC ID 9739087214, 17 clinicians

Fulton Diagnostic Radiology LLCGroup PAC ID 5991853806, 11 clinicians

St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
• Fulton County Medical Center Hospital, McConnellsburg, PA, CCN 391303

Merit-based Incentive Payment System (MIPS)

Final score

89.76 of 100Reported as group

Quality

82.66

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.85 of 100Reported as group

Quality

95.11

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Diagnostic Imaging Services, LLC

  • Radiology Clinic/Center
  • Hagerstown, MD
  • NPI 1114982808
  Medicare reassignment Care Compare group NPD
• St Agnes Healthcare Inc

  dba Integrated Specialists Group

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1144250176
  Medicare reassignment Care Compare group NPD
• Fulton Diagnostic Radiology LLC

  • Diagnostic Radiology Physician
  • McConnellsburg, PA
  • NPI 1417100249
  Medicare reassignment Care Compare group NPD
• Associated Radiologists, PA

  • Specialist
  • Hagerstown, MD
  • NPI 1932164613
  Medicare reassignment NPD
• Heritage Valley Radiology, Inc.

  • Diagnostic Radiology Physician
  • Beaver, PA
  • NPI 1982403739
  Medicare reassignment NPD
• St Agnes Healthcare Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1780615922
  NPD
• Chesapeake Radiology LLC

  • Specialist
  • Bel Air, MD
  • NPI 1134211667
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Agnes Healthcare, Inc.

  dba St.Agnes Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1245274901
  Care Compare affiliation
• Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
  • NPI 1326044694
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790880599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA PITTSBURGH HEALTHCARE SYSTEM, UNIVERSITY DRIVE",
            "address_2": "RADIOLOGY PROGRAM (132X-U)",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-360-3314",
            "fax_number": "412-360-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405736",
            "telephone_number": "301-739-6147",
            "fax_number": "301-739-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "VA Pittsburgh healthcare System, University Drive",
            "address_2": "Radiology program (132X-U)",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15240",
            "country_code": "US",
            "telephone_number": "412-360-3314",
            "fax_number": "412-360-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAIK-KUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "51367-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D78778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiddos ABA MD LLC
• Sonia Kidwai, OD
• Dana Kiefer, DDS, MS
• James A Kiefer, DDS
• Min Kim, DMD
• Jeremy King, CRNA
• Nimotalahi Ajoke King, RN
• Kingdom Behavioral Health LLC
• Kingdom Behavioral Health LLC
• Kingdom Behavioral Health Services, LLC

• Diagnostic Radiology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.