Active NPI
Donald H Kim, M.D.
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1821035916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21721
- Practice address
- 2815 SW 119TH St.
Oklahoma City, OK 73170-2605 - Phone
- (405) 692-9977
- Fax
- (405) 691-6347
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21721 | OK | Primary |
| Pain Medicine Physician | 208VP0000X | 21721 | OK |
Addresses
Primary practice location
2815 SW 119TH St.
Oklahoma City, OK 73170-2605
Mailing address
PO Box 891977
Oklahoma City, OK 73189-1977
Phone (405) 692-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00262362 | Other | OK | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041203000012 | OK | Practitioner - Internal Medicine | 5395701262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald H Kim MD PC | Internal Medicine | Current | Accepting new patients |
| Centennial Health, PC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| National Family Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
| SSM Health Care of Oklahoma Inc | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Past | Accepting new patients | |
| Alpha Omega Dental | Past | Accepting new patients |
Locations
2815 SW 119th St
Oklahoma City, OK 73170
Phone (405) 692-7333
2821 SW 119th St
Oklahoma City, OK 73170
Phone (405) 692-7333
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Oklahoma City, OK
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- General Practice Dentistry
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- NPI 1275707119
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1376585034
-
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1477287720
Internal Medicine
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1821035916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 891977",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731891977",
"telephone_number": "405-692-9977",
"fax_number": "405-691-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 SW 119TH ST.",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702605",
"telephone_number": "405-692-9977",
"fax_number": "405-691-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DONALD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "21721",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OK",
"license": "21721",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00262362",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.