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DR. SOON GUM KIM M.D.
NPI 1346200508
Internal Medicine - Infectious Disease in Tulsa, OK

Active since March 23, 2006PECOS Enrolled
1705 E 19TH ST, SUITE 302, TULSA, OK 74104(918) 748-7585(918) 748-7539 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Soon Gum Kim M.d. NPPES

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

DR. SOON GUM KIM M.D. (NPI 1346200508) is an individual infectious disease provider in Tulsa, Oklahoma, licensed in Oklahoma (24651) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346200508
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SOON GUM KIMCredential: M.D.
Location Address1705 E 19TH ST, SUITE 302Tulsa, OK 74104-5405
Mailing Address1705 E 19th St, Suite 302Tulsa, OK 74104-5405 · (918) 748-7585 · Fax (918) 748-7539
Phone(918) 748-7585
Fax(918) 748-7539
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 11, 2010
✔ NPI 1346200508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OK · 24651
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1705 E 19TH ST, Tulsa, OK 74104
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Other Identifiers 1

Medicaid200076720 AOK

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. Soon Gum Kim M.d. 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 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

TERESSA HEADRICK LEMASTER CNS
Clinical Nurse Specialist (Acute Care)
1705 E 19TH ST, SUITE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
ERIN MATHEWS CAPPS PA
Physician Assistant
1705 E 19TH ST, SUITE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
KRISTY LEE SUNDENE M.D.
Internal Medicine
1705 E 19TH ST, STE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
HUY QUOC LUU D.O.
Family Medicine
1705 E 19TH ST, SUITE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
STEPHEN ANDREW JENKS PA
Physician Assistant
1705 E 19TH ST, SUITE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
SHANNON PARKER NP
Nurse Practitioner
1705 E 19TH ST, STE 302
TULSA, OK 74104
Tulsa County (918) 748-7585
MARK A KELLEY MD
Psychiatry & Neurology (Psychiatry)
1705 E 19TH ST, 512
TULSA, OK 74104
Tulsa County (918) 747-6095
KAYLYNN COATS ELMORE PA
Physician Assistant
1705 E 19TH ST, SUITE 302
TULSA, OK 74104
Tulsa County (918) 748-7585

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 Soon Kim's NPI number?

The NPI number for Soon Kim is 1346200508. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Soon Kim located?

Soon Kim practices at 1705 E 19th St Suite 302, Tulsa, OK 74104. The listed phone number is (918) 748-7585.

What is Soon Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Soon Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Soon Kim was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.