Inkwiy Kim, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

018027 Issued in CT

Practice address

1064 E Main St
Suite 302
Meriden, CT 06450-4898

Phone

(203) 235-3345

Fax

(203) 235-5658

NPI assigned

Jul 6, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFDDBA

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.

• Ear, Nose & Throat Specialists, P.C.

  • Otolaryngology Physician
  • Meriden, CT
  • NPI 1487662995
  NPD Authorized official
• Midstate Medical Group, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Meriden, CT
  • NPI 1356361315
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1881626448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 302",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-235-3345",
            "fax_number": "203-235-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 302",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-235-3345",
            "fax_number": "203-235-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "INKWIY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "018027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "060864650",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "060864650",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4539436",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001180272",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P381429",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0180275663",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010018027CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "ORO204",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phirin Khen, PHARMD
• Humnah Khudayar, M.D.
• Joann Kiernan, PHD LPC
• Charles C.S. Kim, M.D.
• Hanna Yoon Ji Kim, MS, LPC
• Ji Hyun Kim, D.D.S.
• Sharon Ann Kim, LCSW
• Jacqueline Kirby, MD
• Carol Helen Kisner-Bothwell, AUD
• Amy S Kleinsmith, MT-BC

• Otolaryngology Physician in Meriden, CT
• Providers in Meriden, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.