Individual provider Active NPI

Heong Min Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
National Provider Identifier
1831682533
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59.000712 Issued in OH
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 861-6200
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000712 OH Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

2351 E 22ND St
Cleveland, OH 44115-3111
Phone (216) 861-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001187 NH Practitioner - Podiatry 8426441700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

141 Corliss LN
Colebrook, NH 03576-3206
Phone (603) 237-5899

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

8 Clover LN
Whitefield, NH 03598-3343
Phone (603) 837-9005

Hospital & facility affiliations

  • Weeks Medical Center Hospital, Lancaster, NH, CCN 301303
  • Upper Connecticut Valley Hospital Hospital, Colebrook, NH, CCN 301300
  • Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000712OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center Current Accepting new patients
Weeks Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients

Locations

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

260 Cottage St
Ste C
Littleton, NH 03561
Phone (603) 444-2277

Organizations & group practices 3

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 5

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1831682533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEONG MIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.