Active NPI
Cadence A Kim, MD
- Urology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD060440L
- Practice address
- 1342 Cottman Ave
Philadelphia, PA 19111-3729 - Phone
- (215) 745-1612
- Fax
- (215) 745-8319
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD060440L | PA | Primary |
Addresses
Primary practice location
1342 Cottman Ave
Philadelphia, PA 19111-3729
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 745-1612
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890505 | Other | PA | HIGHMARK BLUE SHIELD |
| 0120797000 | Other | PA | KEYSTONE IBC |
| 8317350 | Other | PA | AETNA |
| P01043225 | Other | PA | RAILROAD MEDICARE |
| 30106258 | Other | PA | KEYSTONE MERCY |
| 0016316400002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20100924000740 | PA | Practitioner - General Surgery | 5991821183 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aria Health Physician Services
Practice addresses (Care Compare)
1342 Cottman Ave
Philadelphia, PA 19111-3729
Phone (215) 745-1612
Hospital & facility affiliations
- Jefferson Health- Northeast
- Hospital of Univ of Pennsylvania
- Jefferson Abington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060440L | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Urology | Current | Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Urological Associates, PC | Urology | Current | Accepting new patients |
| Aria Health Physician Services | Past | Accepting new patients |
Locations
380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000
1342 Cottman Ave
Philadelphia, PA 19111
Phone (215) 725-9977
8100 Roosevelt Blvd
Ste 101
Philadelphia, PA 19152
Phone (215) 535-1314
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
3998 Red Lion Rd
Ste 301
Philadelphia, PA 19114
Phone (215) 612-4884
2137 Welsh Rd
Ste 2C
Philadelphia, PA 19115
Phone (215) 698-7333
Organizations & group practices 5
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
- Philadelphia, PA
- NPI 1053181297
-
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1902809304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191786335",
"telephone_number": "215-745-1612",
"fax_number": "215-745-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113729",
"telephone_number": "215-745-1612",
"fax_number": "215-745-8319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CADENCE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD060440L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "890505",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0120797000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8317350",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01043225",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30106258",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016316400002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.