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

Peter Kim, MD

Individual provider Family Medicine Physician · NPI 1760471593

Peter Kim, MD is a Family Practice in Indianapolis, Indiana. Graduated from University of Cincinnati College of Medicine in 1998, 28 years ago. Practices with Healthnet Inc, a 79-clinician group. Licensed in Indiana.

Years since qualifying
28
Trained at
University of Cincinnati College of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

901 Shelby St
Indianapolis, IN 46203-1151
Phone: (317) 488-2040
Fax: (317) 488-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01050900A (IN)

Record details

NPI number1760471593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESSeptember 8, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Healthnet Inc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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