Individual provider Active NPI

David Hak Kim, M.D.

  • Cardiovascular Disease Physician
  • Naperville, IL
National Provider Identifier
1891964441
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036120116 Issued in IL
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

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F400224849OtherILMEDICARE PTAN (INDIVIDUAL)
036120116OtherILBCBS
909980009OtherILMEDICARE PTAN
206147OtherILMEDICARE PTAN (GROUP)
036120116MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000744 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 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 LTDGroup PAC ID 5496667941, 1,326 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians
Naperville Psychiatric VenturesGroup PAC ID 2163570300, 15 clinicians

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 Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120116ILMDInternal Medicine Physician
46359TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jul 22, 2015 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Jul 22, 2015 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2017 Accepting new patients
Delnor Community Hospital CurrentSince Aug 4, 2015 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central Dupage Hospital Association CurrentSince Jul 22, 2015 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince May 1, 2017 Accepting new patients
Central Dupage Hospital Association CurrentSince Jul 22, 2015 Accepting new patients
Edward Hospital CurrentSince May 1, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2017 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Dec 17, 2017 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Sep 1, 2017 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Dec 17, 2017 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

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.