KI WAN KIM MD – NPI #1356490734
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

KI WAN KIM is a thoracic surgeon located in MARIETTA, GA. NPPES has assigned the NPI number 1356490734 to KI WAN KIM on January 09, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 7 years ago on Oct 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KI WAN KIM below.

NPI Profile for
KI WAN KIM

NPI Number
1356490734
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KI WAN KIM
Credentials
MD
Primary location
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060
Phone: (770) 424-9732 Fax:
2 Other location(s):
315 Boulevard NE Ste 500
Atlanta, GA 30312
Phone: (770) 424-9732
2650 Ridge Ave
Walgreen Building Suite 3507
Evanston, IL 60201-1718
Phone: (847) 570-2868
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 IL 036127784
208600000X
- Surgery		 CA A90695

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
61 WHITCHER ST NE STE 4120,
MARIETTA, GA 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KI WAN KIM is affiliated with the following medical group(s):
  • HOSPITAL
    • WELLSTAR COBB MEDICAL CENTER
      3950 AUSTELL RD
      AUSTELL, GA 30106
    • WELLSTAR DOUGLAS HOSPITAL
      8954 HOSPITAL DRIVE
      DOUGLASVILLE, GA 30134
    • WELLSTAR KENNESTONE HOSPITAL
      677 CHURCH STREET
      MARIETTA, GA 30060
    • WELLSTAR PAULDING HOSPITAL
      2518 JIMMY LEE SMITH PARKWAY
      HIRAM, GA 30141
  • LONG-TERM CARE HOSPITAL
    • WELLSTAR WINDY HILL HOSPITAL
      2540 WINDY HILL ROAD
      MARIETTA, GA 30067

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.