Individual provider Active NPI

Grace E Kim, M.D.

  • Nephrology Physician
  • Billings, MT
National Provider Identifier
1891745899
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7330 Issued in MT
Practice address
7641 Charolais St
Billings, MT 59106-9664
Phone
(406) 698-9742
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7330 MT Primary

Addresses

Primary practice location

7641 Charolais St
Billings, MT 59106-9664

Mailing address

7641 Charolais St
Billings, MT 59106-9664
Phone (406) 698-9742

Other identifiers 1

IdentifierTypeStateIssuer
0146237MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, MP2 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
I20040611001227 MT Practitioner - NephrologyPractitioner - Internal Medicine 6507849916 Reassigns benefits to 3 organizations
I20181116002405 MP Practitioner - Nephrology 6507849916 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7330MTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Oct 20, 2014 Accepting new patients
Billings Clinic Current Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Feb 14, 2015 Accepting new patients
SCL Health Montana CurrentSince Oct 20, 2014 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Nephrology CurrentSince Feb 1, 2013 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Sep 24, 2018 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Feb 14, 2015 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Sep 24, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Grand Mesa Nephrology PLLC Nephrology Past Accepting new patients

Locations

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2411 Village Ln
#A
Billings, MT 59102
Phone (406) 248-5511

2411 Village Ln
Billings, MT 59102
Phone (406) 248-5511

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: gkim@billingsclinic.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/6579/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1891745899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 CHAROLAIS ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069664",
            "telephone_number": "406-698-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 CHAROLAIS ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069664",
            "telephone_number": "406-698-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "GRACE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "7330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146237",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.