AMY SUNIM KONG NP
NPI 1104365766
Nurse Practitioner in Los Angeles, CA

Q: What is Amy Kong's NPI number?

The NPI number for Amy Kong is 1104365766. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Q: What is Amy Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Kong was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment

1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033(323) 442-5100 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2020, Oct 9, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Amy Sunim Kong Np NPPES

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

AMY SUNIM KONG NP (NPI 1104365766) is an individual nurse practitioner in Los Angeles, California, licensed in California (NP950005952) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Monte, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104365766

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY SUNIM KONGCredential: NP

Location Address1520 SAN PABLO ST STE 1000Los Angeles, CA 90033-5312

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100

Phone(323) 442-5100

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 15, 2017

Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration

NPPES CertifiedAugust 26, 2020

✔ NPI 1104365766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP950005952

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95005952 (CA)

1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033

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Secondary Practice Location 1

Location 111028 Lower Azusa Rd, Suite CEl Monte, CA 91731-5406 · Phone (626) 455-0048

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

Amy Sunim Kong Np 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 ID244596906

PECOS Enrollment IDI20171113002513

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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

530 services300 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

114 services114 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

83 services68 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

21 services18 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

20 services20 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers25 claims27 services$14.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers81 claims83 services$3.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers145 claims147 services$65.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers47 claims47 services$31.70 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers20 claims5,357 services$0.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$29.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SERENA GHANSHANI MD

Internal Medicine (Cardiovascular Disease)