NPIMap

Individual provider Active NPI

Frank Kim, M.D.

  • Gastroenterology Physician
  • Moon TWP, PA
National Provider Identifier
1902888050
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD072571L Issued in PA
Practice address
725 Cherrington Pkwy
Suite 100
Moon TWP, PA 15108-4318
Phone
(412) 262-1000
Fax
(412) 262-4607
NPI assigned
Nov 15, 2005
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD072571L PA Primary

Addresses

Primary practice location

725 Cherrington Pkwy
Suite 100
Moon TWP, PA 15108-4318

Mailing address

725 Cherrington Pkwy
Suite 100
Moon TWP, PA 15108-4318
Phone (412) 262-1000

Other identifiers 1

IdentifierTypeStateIssuer
1007728510005MedicaidPA

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
I20110308000952 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 0547442881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Digestive Health and NutritionGroup PAC ID 4981678778, 12 clinicians

Practice addresses (Care Compare)

725 Cherrington Pkwy
Suite 100
Coraopolis, PA 15108-4318
Phone (412) 262-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072571LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Endoscopy Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: frank.kim.p1@direct.cdhn.nextgenshare.com
  • Direct secure messaging: frank.kim.p2@direct.cdhn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1902888050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CHERRINGTON PKWY",
            "address_2": "SUITE 100",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151084318",
            "telephone_number": "412-262-1000",
            "fax_number": "412-262-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CHERRINGTON PKWY",
            "address_2": "SUITE 100",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151084318",
            "telephone_number": "412-262-1000",
            "fax_number": "412-262-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD072571L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007728510005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon TWP, PA

Sources for this page

Verify at the official NPI Registry.