Edward Kim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD471851 Issued in PA

Practice address

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303

Phone

(717) 686-9842

Fax

(844) 803-8108

NPI assigned

May 3, 2006

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in NY, VA, MD, DE4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekim@landmarkhealth-direct.org

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.

• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Wilmington, DE
  • NPI 1366167835
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Annapolis, MD
  • NPI 1922722172
  Medicare reassignment NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  dba Kaleida Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD
• University at Buffalo Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Williamsville, NY
  • NPI 1235155581
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1952369548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "address_2": "ATTN MELINDA TOOMEY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5634",
            "fax_number": "716-505-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PARK DR STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109303",
            "telephone_number": "717-686-9842",
            "fax_number": "844-803-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14321 Winter Breeze Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231132452",
            "country_code": "US",
            "telephone_number": "833-452-9772",
            "fax_number": "888-442-6953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142252523",
            "country_code": "US",
            "telephone_number": "716-505-5630",
            "fax_number": "716-505-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101275199",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223349",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA #",
            "identifier": "00026346202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE # FOR WS",
            "identifier": "040426003141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS # FOR AU",
            "identifier": "000527458003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE #",
            "identifier": "040426003139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS # FOR WS",
            "identifier": "000527458002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00249261",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "159668BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "2591880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA #",
            "identifier": "0493261",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP #",
            "identifier": "223349-2W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidspeace National Centers
• John Howard Kiessling, D.M.D.
• Laurie B Kile, M.D.
• Brianna Kilgore, M.S
• Chanhee Jennifer Kim, MD
• Kelly Marie Kim, PHARM.D.
• Sehee V Kim, DO
• Yeseul Kim, OD
• Kind Mind Counseling
• Holly Kindig

• Internal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.