NPIMap

Individual provider Active NPI

Jungsoo Kim, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1902527716
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD490343 Issued in PA
Practice address
3050 Hamilton Blvd Ste 100
Allentown, PA 18103-3691
Phone
(484) 822-5920
Fax
(833) 814-7402
NPI assigned
Sep 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD490343 PA Primary

Addresses

Primary practice location

3050 Hamilton Blvd Ste 100
Allentown, PA 18103-3691

Mailing address

3050 Hamilton Blvd Ste 100
Allentown, PA 18103-3691
Phone (484) 822-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250824000057 PA Practitioner - Family Practice 9537669668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3050 Hamilton Blvd
Allentown, PA 18103-3691

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD490343PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

3050 Hamilton Blvd
Ste 105
Allentown, PA 18103
Phone (484) 822-5920

3050 Hamilton Blvd
Ste 100
Allentown, PA 18103
Phone (484) 526-6048

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: jkim280511@direct-sluhn.org

Organizations & group practices 4

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 6

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1902527716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "484-822-5920",
            "fax_number": "833-814-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "484-822-5920",
            "fax_number": "833-814-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNGSOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD490343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.