Individual provider Active NPI

Dong W Kim, M.D.

  • Radiation Oncology Physician
  • Nashville, TN
National Provider Identifier
1861422420
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
66747 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-3054
Phone
(615) 936-2000
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X M7333 TX
Radiation Oncology Physician 2085R0001X 66747 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-3054

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1003 Reserve Blvd Ste 120
Spring Hill, TN 37174-3085
Phone (931) 380-1194

Other practice location 2

375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone (931) 221-0479

Other practice location 3

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (931) 221-0479

Other identifiers 3

IdentifierTypeStateIssuer
206229105MedicaidTX
Q079285MedicaidTN
PO1520687OtherTXRAILROAD MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Dong.kim@vumc.RADONCJV.direct.varian.com Direct Vanderbilt Maury Radiation Oncology, LLC
Direct Messaging Address Dong.kim@vumc.RADONCJV.direct.varian.com Direct Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville
Direct Messaging Address dkim745304@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20091023000365 TX Practitioner - Radiation Oncology 1052316304 Reassigns benefits to 1 organization
I20221230000269 TN Practitioner - Radiation Oncology 1052316304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Vanderbilt-Ingram Cancer Center Clarksville, LLCGroup PAC ID 9830109123, 15 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone (931) 221-0479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7333TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Radiation Oncology CurrentSince Aug 15, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Vanderbilt Maury Radiation Oncology, LLC CurrentSince Aug 24, 2022 Accepting new patients
Vanderbilt-Ingram Cancer Center Clarksville, LLC Radiation Oncology CurrentSince Aug 24, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 15, 2011 Accepting new patients
Cookeville Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Cookeville Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Vanderbilt University Medical Center CurrentSince Aug 24, 2022 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

375 Alfred Thun Rd
Clarksville, TN 37040
Phone (931) 221-0479

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

2107 Edward Curd Ln
Franklin, TN 37067
Phone (615) 591-9890

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

1420 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

3841 Green Hills Village Dr
Nashville, TN 37215
Phone (615) 322-7127

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

1003 Reserve Blvd
Ste 120
Spring Hill, TN 37174
Phone (931) 380-1194

1003 Reserve Blvd
Spring Hill, TN 37174
Phone (615) 875-0358

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

Interoperability endpoints

  • Direct secure messaging: dong.kim@vumc.radoncjv.direct.varian.com
  • Direct secure messaging: dkim745304@direct.vumc.org
  • Direct secure messaging: nkim@vumcradoncjv.direct.varian.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.

Hospital & facility affiliations 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1861422420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372323054",
            "telephone_number": "615-936-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Reserve Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371743085",
            "country_code": "US",
            "telephone_number": "931-380-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Alfred Thun Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405339",
            "country_code": "US",
            "telephone_number": "931-221-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 W Baddour Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872513",
            "country_code": "US",
            "telephone_number": "931-221-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M7333",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "66747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206229105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q079285",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1520687",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dong.kim@vumc.RADONCJV.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Maury Radiation Oncology, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1003 Reserve Blvd Ste 120",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371743085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dong.kim@vumc.RADONCJV.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "375 Alfred Thun Rd",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370405339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkim745304@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.