John Phillip Kim, MD
Pediatric Anesthesiology Physician · Greenville, SC
John Phillip Kim, MD is a pediatric anesthesiology physician with a practice address in Greenville, South Carolina, and NPI 1265476808, issued on Jun 15, 2006. Check the license (South Carolina 17053, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- John Phillip Kim
- Credential
- MD
- Primary taxonomy
- Pediatric Anesthesiology Physician 207LP3000X
- License number
- 17053 SC
Self-reported in NPPES; status is on the state search - Practice location
- 67 Creekside Park CT, Greenville, SC 29615
- Phone
- (864) 242-4602
- Enumerated
- Jun 15, 2006
- Record last updated
- May 6, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (864) 242-0129
- Medicaid ID
- 170530 SC
- Medicare enrollment
- Enrolled (PECOS I20110207000547); accepts Medicare assignment
- Medical or professional school
- University Of North Carolina At Chapel Hill School Of Medicine, 1989
- Entity
- Type 1 · individual
8 nearest pediatric anesthesiology physician records → All 30 in South Carolina → Look up another NPI →
Also registered at 67 Creekside Park CT
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Randy Applefeld, MDAnesthesiology Physician1063499481
- Kimberly Balogh, MDAnesthesiology Physician1922070119
- Chris Boukedes, MDAnesthesiology Physician1114966165
- Carlos Bracale, MDAnesthesiology Physician1538277496
- Thomas Brinkley, MDAnesthesiology Physician1265871321
- Vito Cancellaro, MDAnesthesiology Physician1134237092
Verify John Phillip Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 17053Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $25.74
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 461 providers of this specialty with any payment received $289.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Prisma Health University Medical GroupGreenville, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Phillip Kim among 30 pediatric anesthesiology physician records in South Carolina
John Phillip Kim, MD is one of 30 pediatric anesthesiology physician records with a practice address in South Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 60% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated1989 · median 2009 among the 24 with a school on file
- Record last updated2021 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP3000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Anesthesiology Physician providers in South Carolina
There are 30 pediatric anesthesiology physician records in South Carolina.
All 30 in South Carolina → Every provider in Greenville → Pediatric Anesthesiology Physician nationwide →
The 8 pediatric anesthesiology physician records with the nearest ZIP codes
- Michael Danekas, M.D.Greenville, SC 296151649494253
- Lauren Doar, MDGreenville, SC 296151689700833
- Richard Knox, MDGreenville, SC 296151982648523
- Laura Leduc, MDGreenville, SC 296151972639680
- John Moore, M.D.Greenville, SC 296151164491379
- Michel Sabbagh, M.D.Greenville, SC 296151962585158
- Misty Shah, MDGreenville, SC 296151750818027
- Barry Stowe, MDGreenville, SC 296151497744304
Common questions
What is John Phillip Kim, MD's NPI number?
John Phillip Kim, MD's National Provider Identifier (NPI) is 1265476808, issued on Jun 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John Phillip Kim, MD located?
The NPPES record lists a practice address at 67 Creekside Park CT, Greenville, SC, 29615. Phone: (864) 242-4602. Providers update this record themselves, so call before visiting.
How can I verify John Phillip Kim, MD's license?
NPPES lists South Carolina license number 17053, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.