Active NPI
David Hak Kim, M.D.
- Cardiovascular Disease Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036120116
- Practice address
- 100 Spalding Dr Ste 400
Naperville, IL 60540-6554 - Phone
- (630) 718-2660
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036120116 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 46359 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 036120116 | IL | Primary |
Addresses
Primary practice location
100 Spalding Dr Ste 400
Naperville, IL 60540-6554
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400224849 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 036120116 | Other | IL | BCBS |
| 909980009 | Other | IL | MEDICARE PTAN |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| 036120116 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkim136345@direct.edward.org | ||
| Direct Messaging Address | dkim136345@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000744 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 5294800306 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Northwestern University Feinberg Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTDElmhurst Memorial HospitalEdward HospitalNaperville Psychiatric Ventures
Practice addresses (Care Compare)
100 Spalding Dr
Suite 400
Naperville, IL 60540-6554
Phone (630) 717-2646
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000
801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450
852 S W St
Naperville, IL 60540-6400
Phone (630) 603-5000
Hospital & facility affiliations
- Edward Hospital
- Elmhurst Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036120116 | IL | MD | Internal Medicine Physician |
| 46359 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Delnor Community Hospital | Current | Accepting new patients | |
| Winfield Pathology Consultants, S.C. | Current | Accepting new patients | |
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Edward Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Naperville Psychiatric Ventures | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Current | Accepting new patients | |
| Naperville Psychiatric Ventures | Current | Accepting new patients |
Locations
303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
Dept 4698
Carol Stream, IL 60122
Dept 5777
Carol Stream, IL 60122
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
676 N Saint Clair St
Ste 300
Chicago, IL 60611
Phone (312) 787-2773
676 N Saint Clair St
Ste 370
Chicago, IL 60611
Phone (312) 787-6662
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001
100 Spalding Dr
Naperville, IL 60540
Phone (630) 357-2900
852 S West St
Naperville, IL 60540
Phone (630) 305-5027
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
100 Spalding Dr
Ste 212
Naperville, IL 60540
Phone (630) 357-4111
100 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 717-2646
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
25 N Winfield Rd
Ste 401
Winfield, IL 60190
Phone (630) 933-4200
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- dkim136345@dulyhealthandcare.direct-ci.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
IL, Internal Medicine
-
- Psychiatric Hospital
- Naperville, IL
- NPI 1619910460
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1891964441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPALDING DR STE 400",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406554",
"telephone_number": "630-718-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "HAK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036120116",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "46359",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036120116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400224849",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "036120116",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "909980009",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036120116",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkim136345@direct.edward.org",
"affiliation": "N",
"address_1": "100 Spalding Dr Ste 400",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406554",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkim136345@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "100 Spalding Dr Ste 400",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406554",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.