Individual provider Active NPI

Soo Chon Kim, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, FL
National Provider Identifier
1932408358
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME126237 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone
(352) 265-0291
Fax
(352) 265-0279
NPI assigned
Mar 24, 2011
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X ME126237 FL Primary
Diagnostic Radiology Physician 2085R0202X 01096979A IN
Diagnostic Radiology Physician 2085R0202X 35278 NH
Diagnostic Radiology Physician 2085R0202X MD29586 ME

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3001

Mailing address

PO Box 100374
Gainesville, FL 32610-0374
Phone (352) 265-0291

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

Other practice location 2

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Other practice location 3

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other identifiers 1

IdentifierTypeStateIssuer
017831600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131108000633 FL Practitioner - Diagnostic Radiology 2365677895 Reassigns benefits to 12 organizations
I20260511003129 IN Practitioner - Diagnostic Radiology 2365677895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

12780 Race Track Rd
Suite 100
Tampa, FL 33626-1395
Phone (813) 749-7810

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

1685 Margarets Walk Rd
Fleming Island, FL 32003-3758
Phone (260) 469-8223

2470 Bloomingdale Ave
Suite 115
Valrico, FL 33596-6403
Phone (727) 281-9390

3001 W MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

3030 W Dr Martin Luther King Jr Blvd
St Joseph's Womens Hospital
Tampa, FL 33607-6308
Phone (813) 879-4730

3030 W MLK Blvd
Tampa, FL 33607-6308
Phone (813) 879-4730

3202 N Park Rd
Plant City, FL 33563-2026
Phone (813) 757-1200

4005 W Dale Ave
Tampa, FL 33609-4406
Phone (260) 432-1568

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 443-7000

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
87.68 of 100Reported as group
Quality
85.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126237FLMDDiagnostic Radiology Physician
01096979AINMDDiagnostic Radiology Physician
MD29586MEMDDiagnostic Radiology Physician
35278NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Aug 16, 2025 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2016 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Aug 27, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Apr 8, 2019 Accepting new patients
Stern, Drake, Isbell & Associates, PA Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Apr 8, 2019 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Feb 1, 2026 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2016 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Feb 7, 2017 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Feb 7, 2017 Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

2222 W Swann Ave
Tampa, FL 33606
Phone (813) 259-1900

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4516 N Armenia Ave
Tampa, FL 33603
Phone (813) 348-6900

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

489 State St
Bangor, ME 04401
Phone (207) 973-8837

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 19

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.

View all 19

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1932408358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100374",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100374",
            "telephone_number": "352-265-0291",
            "fax_number": "352-265-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-0291",
            "fax_number": "352-265-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOO CHON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME126237",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01096979A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "35278",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD29586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017831600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.