Individual provider Active NPI

Young Kil Kim, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1861798159
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN15309 Issued in TN
Practice address
110 29TH Ave N
Ste 200
Nashville, TN 37203
Phone
(615) 327-4304
Fax
(615) 327-7940
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN115557 TN
Certified Registered Nurse Anesthetist 367500000X APN15309 TN Primary

Addresses

Primary practice location

110 29TH Ave N
Ste 200
Nashville, TN 37203

Mailing address

PO Box 3549
Chattanooga, TN 37404-0549
Phone (423) 698-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110315000992 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476735242 Reassigns benefits to 3 organizations
I20250220003925 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476735242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians
Tuality Anesthesia Services LLCGroup PAC ID 3274712864, 30 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 371-1756

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.57 of 100Reported as group
Quality
59.49
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN15309TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. CurrentSince Apr 1, 2013 Accepting new patients
Nashville Gastrointestinal Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2019 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Oct 25, 2024 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Terre Haute Anesthesiology LLC Nurse Anesthetist, Certified Registered PastSince Nov 1, 2019 Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

Organizations & group practices 8

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 1

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1861798159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3549",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040549",
            "telephone_number": "423-698-3309",
            "fax_number": "423-624-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "KIL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN115557",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN15309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.