SUK CHUL KIM AG-ACNP
NPI 1245968973
Nurse Practitioner - Acute Care in Charlottesville, VA
About Suk Chul Kim Ag-acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUK CHUL KIM AG-ACNP (NPI 1245968973) is an individual acute care provider in Charlottesville, Virginia, licensed in Virginia (0024185025) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Suk Chul Kim Ag-acnp 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.
Medicare Billing Reassignments
6Medicare enrollment records show Suk Chul Kim reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 20 clinicians in this Medicare group
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
- 11 clinicians in this Medicare group
Frederick, MD 21702
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Pikesville, MD 21208
- Reassigned Medicare billing, District of Columbia enrollment
- 59 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Suk Chul Kim's NPI number?
The NPI number for Suk Chul Kim is 1245968973. It was assigned to this individual provider in the NPPES registry on August 10, 2022.
Where is Suk Chul Kim located?
Suk Chul Kim practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2409.
What is Suk Chul Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Suk Chul Kim enrolled in Medicare?
Yes. Suk Chul Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Suk Chul Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suk Chul Kim reassigns Medicare benefits to 6 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Washington Cardiovascular Institute LLC (Takoma Park, MD), Wvs Takoma Park LLC (Takoma Park, MD), Wvs Frederick ASC LLC (Frederick, MD), Optimize Medical Group (Pikesville, MD) and 1 more organization, listed in the Medicare section above. 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 Suk Chul 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 Suk Chul Kim was last updated on November 23, 2022. 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.
# Suk Chul Kim, AG-ACNP · NPI 1245968973
Acute Care physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since August 10, 2022.
## Identity
- **NPI:** 1245968973 (Entity type: Individual)
- **Enumerated:** August 10, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 0024185025 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-1165
- **Phone:** (434) 924-2409 · **Fax:** (434) 982-4429
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA); Washington Cardiovascular Institute LLC (NPI 1205835485, Takoma Park, MD); Wvs Takoma Park LLC (NPI 1326746389, Takoma Park, MD); Wvs Frederick ASC LLC (NPI 1386391332, Frederick, MD); Optimize Medical Group (NPI 1952818999, Pikesville, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245968973) · Data from the CMS NPPES public registry.