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NPISignal

Individual Healthcare Provider

Paul Kim

NPI Record: ActiveRadiology — Diagnostic Radiology
NPI1770112898
Trinity, Florida

Provider's NPPES record last updated: June 4, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1770112898
Primary Specialty
Radiology — Diagnostic Radiology
Practice Location
Trinity, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 2:04 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X

Provider-Reported License Information

Radiology (Virginia)
0102209156
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9330 State Road 54

Trinity, Florida 34655-1808

Phone: (727) 834-4832

Additional Practice Location

1250 E Marshall St

Richmond, Virginia 23298-5023

Phone: (804) 828-6600

Fax: (804) 828-6129

Additional Practice Location

300 Mt Clement Park

Tappahannock, Virginia 22560-5098

Phone: (804) 828-6600

Fax: (804) 828-6129

Additional Practice Location

618 Hospital Rd

Tappahannock, Virginia 22560-5000

Phone: (804) 828-6600

Fax: (804) 828-6129

Additional Practice Location

1001 E Leigh St

Richmond, Virginia 23298-5004

Phone: (804) 628-7245

Fax: (804) 828-6129

Additional Practice Location

9000 Stony Point Pkwy

Richmond, Virginia 23235-1900

Phone: (804) 560-8906

Fax: (804) 237-6618

Additional Practice Location

1213 E Clay St

Richmond, Virginia 23298-5071

Phone: (804) 828-6600

Fax: (804) 828-6129

Record Information

Enumeration Date
April 2, 2020
Provider's NPPES Record Last Updated
June 4, 2025
Certification Date
June 4, 2025
NPISignal NPPES Dataset
August 2026

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