DR. MARK SUNG-KYOUNG KIM M.D.
NPI 1073743621
Internal Medicine in Hawthorne, CA

Active since July 16, 2009PECOS EnrolledAccepts Medicare Assignment
11539 HAWTHORNE BLVD, 6E, HAWTHORNE, CA 90250(310) 675-5370 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mark Sung-kyoung Kim M.d. NPPES

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

DR. MARK SUNG-KYOUNG KIM M.D. (NPI 1073743621) is an individual internal medicine provider in Hawthorne, California, licensed in California (A120844) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).

NPPES Registry Identity

NPI1073743621
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK SUNG-KYOUNG KIMCredential: M.D.
Location Address11539 HAWTHORNE BLVD, 6EHawthorne, CA 90250-2381
Mailing Address11539 Hawthorne Blvd, 6eHawthorne, CA 90250-2381 · (310) 675-5370
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2009
Enumeration DateJuly 16, 2009
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1073743621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A120844
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License AU29035993617 (AZ)
11539 HAWTHORNE BLVD, Hawthorne, CA 90250

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

Dr. Mark Sung-kyoung Kim M.d. 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 ID9830348473
PECOS Enrollment IDI20130102000174
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 90250 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 10

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

Pediatrics
11539 HAWTHORNE BLVD, 6TH FLOOR
HAWTHORNE, CA 90250
Counselor
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Clinic/Center (Mental Health (Including Community Mental Health Center))
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Nurse Practitioner (Family)
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Day Training/Habilitation Specialist
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Nurse Practitioner (Family)
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Nurse Practitioner (Family)
11539 HAWTHORNE BLVD, 6TH FLOOR
HAWTHORNE, CA 90250
Obstetrics & Gynecology
11539 HAWTHORNE BLVD
HAWTHORNE, CA 90250

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 Mark Kim's NPI number?

The NPI number for Mark Kim is 1073743621. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Mark Kim located?

Mark Kim practices at 11539 Hawthorne Blvd 6E, Hawthorne, CA 90250. The listed phone number is (310) 675-5370.

What is Mark Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Kim enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Kim was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.