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MR. SUNG KIM PA-C
NPI 1134593536
Physician Assistant in Mount Dora, FL

Active since November 23, 2015PECOS Enrolled
18550 US HIGHWAY 441, STE A, MOUNT DORA, FL 32757(352) 735-3755(352) 314-1942 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2015, Nov 23, 2015 (2 updates tracked since 2015).

About Mr. Sung Kim Pa-c NPPES

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

MR. SUNG KIM PA-C (NPI 1134593536) is an individual physician assistant in Mount Dora, Florida, licensed in Florida (PA9109079) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134593536
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SUNG KIMCredential: PA-C
Location Address18550 US HIGHWAY 441, STE AMount Dora, FL 32757-6751
Mailing Address18550 Us Highway 441, Ste AMount Dora, FL 32757-6751 · (352) 735-3755 · Fax (352) 314-1942
Phone(352) 735-3755
Fax(352) 314-1942
Sole ProprietorYes
Enumeration DateNovember 23, 2015
Last NPPES UpdateMarch 10, 20172 updates tracked since enumeration
✔ NPI 1134593536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9109079
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18550 US HIGHWAY 441, Mount Dora, FL 32757
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sung Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32757 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

STACY JONES APRN
Nurse Practitioner (Acute Care)
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755
SHARON MOLOK APRN
Nurse Practitioner (Family)
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755
MRS. STACEY MCCOY ARNP
Nurse Practitioner (Family)
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755
DR. SYED SALMAN M MOINUDDIN M.D.
Internal Medicine
18550 US HIGHWAY 441, SUITE A
MOUNT DORA, FL 32757
Orange County (352) 735-3755
VASHTI G MILLER DNS, ANP-BC
Nurse Practitioner (Adult Health)
18550 US HIGHWAY 441, STE A
MOUNT DORA, FL 32757
Orange County (352) 735-3755
DR. GHULAM MUSTAFA ANWAR M.D
Family Medicine
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755
BASSEM BEBAWI IBRAHIM MD
Internal Medicine (Nephrology)
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755
MRS. DEEPALI KHADKA MD
Internal Medicine
18550 US HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 735-3755

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 Sung Kim's NPI number?

The NPI number for Sung Kim is 1134593536. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Sung Kim located?

Sung Kim practices at 18550 Us Highway 441 Ste A, Mount Dora, FL 32757. The listed phone number is (352) 735-3755.

What is Sung Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sung Kim enrolled in Medicare?

Yes. Sung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sung Kim was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.