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

Q: 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.

Q: What is Sangwoo Kim's specialty?

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

Q: 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 12 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)