SAMUEL CHAN KIM MD
NPI 1134129679
Urology in Lafayette, IN

Q: What is Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1134129679. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Q: What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment

5165 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000(765) 448-7619 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Dec 16, 2022 (2 updates tracked since 2022).

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About Samuel Chan Kim Md NPPES

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

SAMUEL CHAN KIM MD (NPI 1134129679) is an individual urology provider in Lafayette, Indiana, licensed in Indiana (01058979A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1134129679

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSAMUEL CHAN KIMCredential: MD

Location Address5165 MCCARTY LNLafayette, IN 47905-8764

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 448-8000

Fax(765) 448-7619

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996

Enumeration DateJuly 27, 2005

Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1134129679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IN · 01058979A

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5165 MCCARTY LN, Lafayette, IN 47905

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Secondary Practice Locations 3

Location 12525 W University Ave, Suite 504Muncie, IN 47303-3421 · Phone (765) 289-7444 · Fax (765) 289-8628

Location 25177 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8000 · Fax (765) 448-7619

Location 32401 W University AveMuncie, IN 47303-3428 · Phone (765) 741-1515

Other Identifiers 2

Other815500539IN · Medicare Ptan

Medicaid200476300AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Samuel Chan 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 ID3577536994

PECOS Enrollment IDI20040814000095

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

Medicare enrollment records show Samuel Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnett Clinic, LLC

Same address

Internal Medicine

5165 MCCARTY LN
Lafayette, IN 47905

Reassigned Medicare billing, Indiana enrollment
671 clinicians in this Medicare group

NPI 1164490843 (765) 448-8000

Iu Health Medical Group, LLC

54 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

Indiana University Health Ball Memorial Physicians, Inc.

69 mi

Family Medicine

1809 S MAIN ST
Upland, IN 46989

Reassigned Medicare billing, Indiana enrollment
635 clinicians in this Medicare group

NPI 1699094870 (765) 992-6200

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 15

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

248 services173 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

138 services109 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

90 services90 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

67 services62 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

65 services50 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

50 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services20 patients

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.

22 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services14 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

19 services17 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

18 services17 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

18 services16 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

11 services11 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150030

Location1000 N 16th StNew Castle, IN 47362 · Henry County

Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Ascension St Vincent Randolph

Critical Access Hospitals · Winchester, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151301

Location473 E Greenville AveWinchester, IN 47394 · Randolph County

Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN

OwnershipGovernment - Local

CMS Certification Number151320

Location500 W Votaw StPortland, IN 47371 · Jay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

3 suppliers28 claims4,140 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

9 suppliers74 claims13,940 services$1.41 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

1 supplier11 claims1,410 services$6.75 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers11 claims63 services$9.34 avg. paid by Medicare

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

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.

DANI'EL N MCKILLIP RN

Registered Nurse (Obstetric, Inpatient)