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KIUP ALEXANDER KIM MD, RPVI
NPI 1225242985
Surgery - Vascular Surgery in Phoenix, AZ

Active since May 10, 2007PECOS Enrolled
0/100
CMS Quality Rating
202 E EARLL DR STE 360, PHOENIX, AZ 85012(480) 788-5621(480) 779-1277 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2021, Mar 4, 2020, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Kiup Alexander Kim Md, Rpvi NPPES

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

KIUP ALEXANDER KIM MD, RPVI (NPI 1225242985) is an individual vascular surgery provider in Phoenix, Arizona, licensed in Arizona (42708) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1225242985
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameKIUP ALEXANDER KIMCredential: MD, RPVI
Location Address202 E EARLL DR STE 360Phoenix, AZ 85012-2677
Mailing Address202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · (480) 788-5621 · Fax (480) 779-1277
Phone(480) 788-5621
Fax(480) 779-1277
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 5, 20214 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1225242985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in AZ · 42708
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 42708 (AZ)
202 E EARLL DR STE 360, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 6

Location 15060 N 19th Ave Ste 207Phoenix, AZ 85015 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 2333 N Dobson RdChandler, AZ 85224-4412 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 32737 W Baseline Rd Ste 27Tempe, AZ 85283-1051 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 41455 W Chandler Blvd Ste B11Chandler, AZ 85224 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 55060 N 19th Ave Ste 105Phoenix, AZ 85015 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 6202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · Phone (480) 788-5621 · Fax (480) 779-1277

Other Identifiers 3

Medicaid501341AZ
OtherZ139140AZ · Ptan
Other1225242985AZ · Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiup Alexander Kim Md, Rpvi 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.

Medicare Billing Reassignments

3

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

Advanced Minimally Invasive Surgical
Same address
Surgery
202 E EARLL DR STE 360
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 78 clinicians in this Medicare group
NPI 1295056919 (480) 788-5621
Maria Gonzalez Berlari, MD LLC
11 mi
Family Medicine
9150 W INDIAN SCHOOL ROAD, BUILDING 5, SUITE 118
Phoenix, AZ 85037
  • Reassigned Medicare billing, Arizona enrollment
  • 87 clinicians in this Medicare group
NPI 1699025981 (623) 247-5700
Progressive Pain Management Inc
46 mi
Interventional Pain Medicine
1653 E MCMURRAY BLVD STE 144
Casa Grande, AZ 85122
  • Reassigned Medicare billing, Arizona enrollment
  • 81 clinicians in this Medicare group
NPI 1881866754 (520) 836-8644

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

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Other Providers at the Same Location NPPES 8

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

KENDRA ANN SCOTT DPT
Physical Therapist
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
JAVIER OMAR YEPIZ PA
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
QUANIKA SHUNTAAYE SIMPSON-JACKSON MD
Emergency Medicine (Emergency Medical Services)
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 698-8261
REFLECTION HEALTH SERVICES L.L.C.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 698-8261
MR. JORDAN SCHENK PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
MS. LAURA ELIZABETH FOX PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 264-4431
ADVANCED MINIMALLY INVASIVE SURGICAL
Surgery
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
SOB523T
Family Medicine
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621

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 Kiup Kim's NPI number?

The NPI number for Kiup Kim is 1225242985. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Kiup Kim located?

Kiup Kim practices at 202 E Earll Dr Ste 360, Phoenix, AZ 85012. The listed phone number is (480) 788-5621.

What is Kiup Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kiup Kim enrolled in Medicare?

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

Which organizations bill Medicare for Kiup Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiup Kim reassigns Medicare benefits to 3 organizations: Advanced Minimally Invasive Surgical (Phoenix, AZ), Maria Gonzalez Berlari, MD LLC (Phoenix, AZ) and Progressive Pain Management Inc (Casa Grande, AZ). Each 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 Kiup Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiup Kim was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.