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DR. SHAWN KYUNGSUN KIM MD
NPI 1235766569
Internal Medicine in Apo, AP

Active since March 25, 2020PECOS Enrolled
UNIT 2060 BOX 51ST, APO, AP 96278(385) 218-0808 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Oct 31, 2023, Mar 29, 2020 (3 updates tracked since 2020).

About Dr. Shawn Kyungsun Kim Md NPPES

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

DR. SHAWN KYUNGSUN KIM MD (NPI 1235766569) is an individual internal medicine provider in Apo, AP, licensed in Virginia (0101274609) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235766569
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAWN KYUNGSUN KIMCredential: MD
Location AddressUNIT 2060 BOX 51STApo, AP 96278-2060
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638
Phone(385) 218-0808
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1235766569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101274609
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.

Secondary Practice Locations 2

Location 13551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 916-4141
Location 21100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 292-7805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawn Kyungsun Kim Md 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.

Other Providers at the Same Location NPPES 7

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

CLINTON J ULMER MD
Orthopaedic Surgery
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-2570
HANNAH HAYEON CHO DMD
Dentist (General Practice)
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-0365
JENNA MAXINE MCKINNON DDS
Dentist (General Practice)
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-0367
MARIO GADDINI DO
Family Medicine
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-2500
DANIEL DUYBINH NGUYEN
Dentist (General Practice)
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-0367
DR. KIERRA AALIYAH GOINS OD
Optometrist
UNIT 2060 BOX 51ST
APO, AP 96278
(315) 784-8717
MICHAEL WILLIAM CRUCIGER DDS
Dentist (Oral and Maxillofacial Surgery)
UNIT 2060 BOX 51ST
APO, AP 96278
(010) 784-0246

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 Shawn Kim's NPI number?

The NPI number for Shawn Kim is 1235766569. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Shawn Kim located?

Shawn Kim practices at Unit 2060 Box 51st, Apo, AP 96278. The listed phone number is (385) 218-0808.

What is Shawn Kim's specialty?

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

Is Shawn Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shawn Kim was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.