SUJEONG KIM
NPI 1265920839
Pediatrics in Pflugerville, TX

Q: What is Sujeong Kim's NPI number?

The NPI number for Sujeong Kim is 1265920839. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Q: What is Sujeong Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sujeong Kim was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 April 28, 2018PECOS Enrolled

15803 WINDERMERE DR STE 103, PFLUGERVILLE, TX 78660(512) 989-2680 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Nov 3, 2021, Apr 28, 2018 (3 updates tracked since 2018).

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About Sujeong Kim NPPES

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

SUJEONG KIM (NPI 1265920839) is an individual pediatrics provider in Pflugerville, Texas, licensed in Texas (V6974) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2018).

NPPES Registry Identity

NPI1265920839

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUJEONG KIM

Location Address15803 WINDERMERE DR STE 103Pflugerville, TX 78660-2482

Mailing Address6210 E Hwy 290Austin, TX 78723-1142 · (512) 483-9596

Phone(512) 989-2680

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2018

Enumeration DateApril 28, 2018

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1265920839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · V6974✔ Licensed in NY · 309869

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

15803 WINDERMERE DR STE 103, Pflugerville, TX 78660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujeong Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678810819

PECOS Enrollment IDI20251021004702

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 78660 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

Most-billed visit code 99214

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 6

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

HECTOR SANCHEZ MD

Internal Medicine