SUN KWON KIM MD, PHD
NPI 1023386877
Obstetrics & Gynecology in Detroit, MI

Active since December 08, 2011PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, STE 4C, DETROIT, MI 48201(313) 745-4525(313) 745-4399 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sun Kwon Kim Md, Phd NPPES

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

SUN KWON KIM MD, PHD (NPI 1023386877) is an individual obstetrics & gynecology provider in Detroit, Michigan, licensed in Michigan (4301091570) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1023386877
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSUN KWON KIMCredential: MD, PHD
Location Address4201 SAINT ANTOINE ST, STE 4CDetroit, MI 48201-2153
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 745-4525 · Fax (313) 745-4399
Fax(313) 745-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 8, 2011
Last NPPES UpdateOctober 25, 2016
✔ NPI 1023386877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301091570
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Accepted Insurance

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

Sun Kwon Kim Md, Phd 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 ID749404069
PECOS Enrollment IDI20140606000747
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

5

Medicare enrollment records show Sun Kwon Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
4201 SAINT ANTOINE ST, SUITE 4E&F
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
Obstetrics & Gynecology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 88 clinicians in this Medicare group
Obstetrics & Gynecology
2333 BIDDLE AVE
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 197 clinicians in this Medicare group
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
Obstetrics & Gynecology
205 N. EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 59 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Sun Kwon Kim's NPI number?

The NPI number for Sun Kwon Kim is 1023386877. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Sun Kwon Kim located?

Sun Kwon Kim practices at 4201 Saint Antoine St Ste 4C, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Sun Kwon Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sun Kwon Kim enrolled in Medicare?

Yes. Sun Kwon 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 Sun Kwon Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Kwon Kim reassigns Medicare benefits to 5 organizations: University Physician Group (Detroit, MI), Henry Ford Health System (Detroit, MI), Henry Ford Wyandotte Hospital (Wyandotte, MI), Henry Ford Macomb Hospital Corporation (Clinton Twp, MI) and W.A. Foote Memorial Hospital (Jackson, MI). 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 Sun Kwon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sun Kwon Kim accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sun Kwon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sun Kwon Kim affiliated with any hospitals?

According to CMS data, Sun Kwon Kim is affiliated with Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Sun Kwon Kim was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.