DR. SEAN S KIM M.D.
NPI 1487917472
Radiology - Diagnostic Radiology in Agana Heights, GU
About Dr. Sean S Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEAN S KIM M.D. (NPI 1487917472) is an individual diagnostic radiology provider in Agana Heights, Guam, licensed in Virginia (0101254506) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Tulane University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sean S Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sean Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas and Washington enrollments
- Also billed through NPI 1710970975 (Washington)
- 445 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 96910 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AGANA HEIGHTS, GU 96910
AGANA HEIGHTS, GU 96910
AGANA HEIGHTS, GU 96910
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 Sean Kim's NPI number?
The NPI number for Sean Kim is 1487917472. It was assigned to this individual provider in the NPPES registry on June 24, 2012.
Where is Sean Kim located?
Sean Kim practices at Farenholt Ave, Agana Heights, GU 96910. The listed phone number is (671) 344-9340.
What is Sean Kim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sean Kim enrolled in Medicare?
Yes. Sean Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sean Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Kim reassigns Medicare benefits to Radiology Associates Of North Texas PA (Fort Worth, TX). 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 Sean Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Kim accept?
Health plans from Cigna Healthcare list Sean Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sean Kim was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Sean S Kim, M.D. · NPI 1487917472
Diagnostic Radiology physician in Agana Heights, GU. Individual provider, active in the CMS NPPES registry since June 24, 2012.
## Identity
- **NPI:** 1487917472 (Entity type: Individual)
- **Enumerated:** June 24, 2012
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 0101254506 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** FARENHOLT AVE, Agana Heights, GU 96910
- **Phone:** (671) 344-9340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Radiology Associates Of North Texas PA (NPI 1053470179, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487917472) · Data from the CMS NPPES public registry.