NPI age
17 years
Enumerated 2008-06-27
● Active
Type 1 · Individual
Stephen Joowhan Kim, M.D.
Kim is 1 of 276 radiology providers in Fort Worth and 1 of 3776 in Texas.
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
TX, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3776 active radiology providers in Texas.
NPI age
17 years
↓ 2 yr below median (19 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
815 Pennsylvania Ave
Fort Worth, TX 761042224
Mailing address
816 W Cannon St
Fort Worth, TX 761043146
Additional practice locations
1 secondary location on file with NPPES.
Location 2
620 W Edison Rd, Ste 110
Mishawaka, IN 465452784
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
RadiologyA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 01066145A | IN LICENSE |
| 05 (IN) | 20139730 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 244 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.