SUEJUNG GRACE KIM M.D.
NPI 1427476381
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
4950 W SUNSET BLVD, 6TH FLOOR, LOS ANGELES, CA 90027(800) 954-8000 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2021, Feb 15, 2017 (2 updates tracked since 2017).

About Suejung Grace Kim M.d. NPPES

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

SUEJUNG GRACE KIM M.D. (NPI 1427476381) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in California (A137692) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2014).

NPPES Registry Identity

NPI1427476381
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUEJUNG GRACE KIMCredential: M.D.
Location Address4950 W SUNSET BLVD, 6TH FLOORLos Angeles, CA 90027-5822
Mailing Address4950 W Sunset Blvd, 6th FloorLos Angeles, CA 90027-5822
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPI 1427476381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · A137692
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4950 W SUNSET BLVD, Los Angeles, CA 90027

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

Suejung Grace 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.

PECOS PAC ID1254613813
PECOS Enrollment IDI20170518002478
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.

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.

Student in an Organized Health Care Education/Training Program
4950 W SUNSET BLVD, 4TH FLOOR
LOS ANGELES, CA 90027
Radiology (Radiation Oncology)
4950 W SUNSET BLVD
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD, 4TH FLOOR
LOS ANGELES, CA 90027
Internal Medicine
4950 W SUNSET BLVD, 6TH FLOOR IM OFFICE
LOS ANGELES, CA 90027
Internal Medicine
4950 W SUNSET BLVD
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD, 4TH FLOOR
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD, 4TH FLOOR
LOS ANGELES, CA 90027

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 Suejung Kim's NPI number?

The NPI number for Suejung Kim is 1427476381. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Suejung Kim located?

Suejung Kim practices at 4950 W Sunset Blvd 6th Floor, Los Angeles, CA 90027. The listed phone number is (800) 954-8000.

What is Suejung Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suejung Kim enrolled in Medicare?

Yes. Suejung 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 Suejung Kim was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.