Active NPI
Thomas Kim, M.D.
- Radiation Oncology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- E-10559
- Practice address
- 500 S Paulina St.
Ground Floor Atrium 013
Chicago, IL 60612 - Phone
- (312) 942-5751
- NPI assigned
- Apr 11, 2012
- Last updated
- Jul 17, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | E-10559 | AR | Primary |
Addresses
Primary practice location
500 S Paulina St.
Ground Floor Atrium 013
Chicago, IL 60612
Mailing address
500 S Paulina St.
Ground Floor Atrium 013
Chicago, IL 60612
Phone (312) 942-5751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Warren Alpert Medical School of Brown University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
1620 W Harrison St
Chicago, IL 60612-3801
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
2455 Corporate W Dr
Lisle, IL 60532-3622
Phone (312) 226-2371
500 S Paulina St
Chicago, IL 60612-3804
Phone (312) 942-5751
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10559 | AR | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Family Medicine | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
500 S Paulina St
Chicago, IL 60612
Phone (312) 942-5751
500 S Paulina St
#13
Chicago, IL 60612
Phone (312) 942-5751
500 S Paulina St
Fl 1
Chicago, IL 60612
75 Remittance Dr
Dept 1611
Chicago, IL 60675
Interoperability endpoints
- tkim160857@direct.rush.rush-health.com
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.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Family Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1932466208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S PAULINA ST.",
"address_2": "GROUND FLOOR ATRIUM 013",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S PAULINA ST.",
"address_2": "GROUND FLOOR ATRIUM 013",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AR",
"license": "E-10559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.