SUNG K KIM M.D.
NPI 1366452245
Surgery - Vascular Surgery in Riverside, CA
About Sung K Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNG K KIM M.D. (NPI 1366452245) is an individual vascular surgery provider in Riverside, California, licensed in California (G86113) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1988).
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
Sung K Kim M.d. 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 Reassignment
Medicare enrollment records show Sung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 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 92505 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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Sung Kim's NPI number?
The NPI number for Sung Kim is 1366452245. It was assigned to this individual provider in the NPPES registry on August 9, 2006.
Where is Sung Kim located?
Sung Kim practices at 10800 Magnolia Ave Department Of General Surgery, Riverside, CA 92505. The listed phone number is (951) 353-3606.
What is Sung Kim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Sung Kim enrolled in Medicare?
Yes. Sung 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 organization bills Medicare for Sung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sung Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The 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 Sung 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 Sung Kim was last updated on October 13, 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.
# Sung K Kim, M.D. · NPI 1366452245
Vascular Surgery physician in Riverside, California. Individual provider, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1366452245 (Entity type: Individual)
- **Enumerated:** August 9, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** G86113 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10800 MAGNOLIA AVE, DEPARTMENT OF GENERAL SURGERY, Riverside, CA 92505-3043
- **Phone:** (951) 353-3606 · **Fax:** (951) 353-5406
## 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:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1988
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366452245) · Data from the CMS NPPES public registry.