Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962583112 Individual Practitioner Male Practitioner

Dr. Moon-Chul Kim , MD

General Practice • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Dr. Moon-Chul Kim, MD is a registered healthcare professional specializing in General Practice in Ann Arbor, MI. Practice services are available at 1764 STONEBRIDGE DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1764 Stonebridge Dr S

Ann Arbor, MI 481088569

Telephone 7346230238

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Ann Arbor, MI (445 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301079022

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Radiology - Pediatric Radiology

NUCC Taxonomy Code: 2085P0229X

State License MI 4301079022

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4347075 (MI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 16, 2015

Registered at 1764 STONEBRIDGE DR S, ANN ARBOR, MI 481088569 (Tel: 7346230238)

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Updated Business Mailing Address May 16, 2015

Registered at 1764 STONEBRIDGE DR S, ANN ARBOR, MI 481088569 (Tel: 7346230238)

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Provider Name / Credentials Updated May 16, 2015

Recorded as MOON-CHUL KIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2015

Radiology (License #4301079022 in MI)

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Initial NPI Registration & Enumeration October 17, 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: 1962583112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: May 16, 2015
Sole Proprietor: No

Mailing Address

1764 Stonebridge Dr S

Ann Arbor, MI 481088569

Phone: 7346230238

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.