DR. SANG WON DACRI-KIM DO
NPI 1043385529
Surgery - Vascular Surgery in Newark, OH
About Dr. Sang Won Dacri-kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANG WON DACRI-KIM DO (NPI 1043385529) is an individual vascular surgery provider in Newark, Ohio, licensed in Ohio (34006602) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
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
Dr. Sang Won Dacri-kim Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Sang Won Dacri-kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 177 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ashtabula County Medical Center
Acute Care Hospitals · Ashtabula, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Sang Won Dacri-kim's NPI number?
The NPI number for Sang Won Dacri-kim is 1043385529. It was assigned to this individual provider in the NPPES registry on November 21, 2006.
Where is Sang Won Dacri-kim located?
Sang Won Dacri-kim practices at 1970 Tamarack Rd., Newark, OH 43055. The listed phone number is (740) 344-2452.
What is Sang Won Dacri-kim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Sang Won Dacri-kim enrolled in Medicare?
Yes. Sang Won Dacri-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 organization bills Medicare for Sang Won Dacri-kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sang Won Dacri-kim reassigns Medicare benefits to Ashtabula County Medical Center (Ashtabula, OH). The 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 Sang Won Dacri-kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sang Won Dacri-kim accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Insurance Corporation of Ohio list Sang Won Dacri-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 Sang Won Dacri-kim affiliated with any hospitals?
According to CMS data, Sang Won Dacri-kim is affiliated with Ashtabula County Medical Center and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Sang Won Dacri-kim was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Sang Won Dacri-Kim, DO · NPI 1043385529
Vascular Surgery physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1043385529 (Entity type: Individual)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 34006602 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1970 TAMARACK RD., Newark, OH 43055
- **Phone:** (740) 344-2452 · **Fax:** (740) 522-7305
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ashtabula County Medical Center (NPI 1942247143, Ashtabula, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1990
## Record status
- **NPPES last updated:** November 23, 2010
- **Other identifiers:** Other P00397004 (OH); Medicare PIN 0896556 (OH); Medicare PIN 0896555 (OH); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043385529) · Data from the CMS NPPES public registry.