Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ian Kim, MD

Individual provider Urgent Care Clinic/Center · NPI 1366594293

Dr. Ian Kim, MD is a General Practice in Shelby, North Carolina. Graduated from Loma Linda University School of Medicine in 1992, 34 years ago. Practices with Patheous Medical PLLC, an 18-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
34
Trained at
Loma Linda University School of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1895 E Dixon Blvd
Shelby, NC 28152-6901
Phone: (800) 805-6989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2908 N Herritage St, Kinston, NC 28501 — (252) 523-3111
  • 2908 N Herritage St, Kinston, NC 28501 — (252) 523-3111
  • 2908 N Herritage St, Kinston, NC 28501-1580 — (252) 523-3111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9400542 (NC)
Urgent Care Clinic/Center Taxonomy 261QU0200X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 9400542 (NC)

Record details

NPI number1366594293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Patheous Medical Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount