SUMI KIM PA-C
NPI 1366825325
Physician Assistant in State College, PA

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
320 ROLLING RIDGE DR STE 100, STATE COLLEGE, PA 16801(814) 867-0670 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumi Kim Pa-c NPPES

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

SUMI KIM PA-C (NPI 1366825325) is an individual physician assistant in State College, Pennsylvania and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewistown, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366825325
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUMI KIMCredential: PA-C
Location Address320 ROLLING RIDGE DR STE 100State College, PA 16801
Mailing Address320 Rolling Ridge Dr Ste 100State College, PA 16801-7641 · (814) 867-0670
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 8, 2015
Last NPPES UpdateDecember 5, 2019
NPI 1366825325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA057669 (PA), OA003573 (PA)
320 ROLLING RIDGE DR STE 100, State College, PA 16801

Other Names 1

Former Name (1)Su Mi Kim Pa-c

Secondary Practice Location 1

Location 121 Geisinger LnLewistown, PA 17044-3400 · Phone (717) 242-4200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sumi Kim Pa-c 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.

PECOS PAC ID5698080794
PECOS Enrollment IDI20150819006838
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 16801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 10

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

Nurse Practitioner (Psychiatric/Mental Health)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Social Worker (Clinical)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Physician Assistant
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Psychiatry & Neurology (Psychiatry)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Physician Assistant
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801

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 Sumi Kim's NPI number?

The NPI number for Sumi Kim is 1366825325. It was assigned to this individual provider in the NPPES registry on July 8, 2015. The provider is also known as Su Mi Kim Pa-C.

Where is Sumi Kim located?

Sumi Kim practices at 320 Rolling Ridge Dr Ste 100, State College, PA 16801. The listed phone number is (814) 867-0670.

What is Sumi Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sumi Kim enrolled in Medicare?

Yes. Sumi 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.

When was this NPI record last updated?

The NPPES record for Sumi Kim was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.