Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114036282 Individual Practitioner Male Practitioner

Dr. Chul H. Kim , MD

Pediatrics • San Carlos, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Chul Kim, MD is a registered healthcare professional specializing in Pediatrics in San Carlos, AZ. Practice services are available at 223 CIBEQUE CIRCLE ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

223 Cibeque Circle Road

San Carlos, AZ 85550

Telephone 9284757219
Fax 9284757370
Associated Practice Facility / Clinic
🏢 Dhhs Ihs Phoenix Area Facility NPI 1124398961

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Carlos, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
1 Specialists

Practicing in San Carlos, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D18717

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
888935 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1043329188

Doctor of Medicine (M.D.)

NPI 1225163215

Doctor of Dental Surgery

Dr. Bruce Bilder , MD

Emergency Medicine

NPI 1306955596

Doctor of Medicine (M.D.)

Linda Clark , RN, CDE

Registered Nurse - Diabetes Educator

NPI 1326165234

Registered Nurse, Certified Diabetes Educator

Dr. William Dunlap , DDS

Dentist - General Practice

NPI 1336139955

Doctor of Dental Surgery

Jeffrey Richardson , PT

Physical Therapist

NPI 1356453278

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2013

Registered at 223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550 (Tel: 9284757219)

📍
Updated Business Mailing Address November 06, 2013

Registered at PO BOX 208, SAN CARLOS, AZ 855500208 (Tel: 9284757219)

👤
Provider Name / Credentials Updated November 06, 2013

Recorded as CHUL KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Pediatrics (License #D18717 in MD)

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114036282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: November 06, 2013
Sole Proprietor: No

Mailing Address

Po Box 208

San Carlos, AZ 855500208

Phone: 9284757219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.