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SANGWOO SHAWN KIM MD
NPI 1013544139
Radiology - Radiation Oncology in San Diego, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Mar 26, 2020 (2 updates tracked since 2020).

About Sangwoo Shawn Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGWOO SHAWN KIM MD (NPI 1013544139) is an individual radiation oncology provider in San Diego, California, licensed in California (A187714) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2020).

NPPES Registry Identity

NPI1013544139
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameSANGWOO SHAWN KIMCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1013544139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A187714
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14077 Fifth Ave # Mer35San Diego, CA 92103-2105 · Phone (916) 276-5059
Location 216918 Dove Canyon Rd Ste 103San Diego, CA 92127-3455 · Phone (858) 649-5100 · Fax (858) 649-5099
Location 31200 Garden View RdEncinitas, CA 92024-2477 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 43855 Health Sciences DrLA Jolla, CA 92093-3455 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sangwoo Shawn Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557878402
PECOS Enrollment IDI20250725004287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sangwoo Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
Same address
Diagnostic Radiology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 360 clinicians in this Medicare group
NPI 1558463927 (800) 926-8273
California Cancer Associates For Research And Excellence Inc
318 mi
Hematology & Oncology
7130 N MILLBROOK AVE STE 100
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1083661607 (559) 326-1222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sangwoo Kim's NPI number?

The NPI number for Sangwoo Kim is 1013544139. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Sangwoo Kim located?

Sangwoo Kim practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Sangwoo Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Sangwoo Kim enrolled in Medicare?

Yes. Sangwoo Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sangwoo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sangwoo Kim reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and California Cancer Associates For Research And Excellence Inc (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sangwoo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sangwoo Kim was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.