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DR. SAMUEL KIM M.D. NPI 1629386388


NPI Information

NPI: 1629386388
Provider Name: DR. SAMUEL KIM, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: BAPTIST PRIMARY CARE INC

PECOS Registration: Yes

Address:
1660 PRUDENTIAL DR
SUITE 310
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-8656
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DR. Samuel Kim, M.D. is a rheumatology internal medicine in Jacksonville, FL with 18 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Samuel Kim, M.D. NPI is 1629386388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1660 PRUDENTIAL DR
SUITE 310
JACKSONVILLE, FL
ZIP 32207-197
Phone: (904) 396-8656
Fax: (904) 396-5931

The NPI 1629386388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

The enumeration date for this NPI number is 9/15/2010 and was last updated on 12/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyME120625FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1012351100MEDICAIDFLORIDA
2P01366451OTHERFLORIDARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.