Active NPI
Soo Chon Kim, M.D.
- Diagnostic Radiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME126237
- 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, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017831600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- St Josephs Hospital
- South Florida Baptist Hospital
- Baycare Hospital Wesley Chapel
- Kosciusko Community Hospital
- The Orthopaedic Hospital of Lutheran Health Networ
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.5 of 100
- Quality
- 66.47
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.99 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.68 of 100
- Quality
- 85.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126237 | FL | MD | Diagnostic Radiology Physician |
| 01096979A | IN | MD | Diagnostic Radiology Physician |
| MD29586 | ME | MD | Diagnostic Radiology Physician |
| 35278 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Tulsa X-Ray Laboratory PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Stern, Drake, Isbell & Associates, PA | Diagnostic Radiology | Current | Accepting new patients |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | 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 | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| St Joseph's Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Joseph's Diagnostic Center LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
- Diagnostic Radiology Physician
- Daytona Beach, FL
- NPI 1063400729
-
dba BayCare Outpatient Imaging
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1558342998
-
dba SDI Diagnostic Imaging
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1215903398
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
FL
-
dba Spectrum Radiology South
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
FL
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba Tulsa Diagnostic Interventional Radiology
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1144211582
FL
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baycare Hospital Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1518604693
-
dba South Florida Baptist Hospital
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.