DR. SEAN S KIM M.D.
NPI 1487917472
Radiology - Diagnostic Radiology in Agana Heights, GU

Active since June 24, 2012PECOS Enrolled
FARENHOLT AVE, AGANA HEIGHTS, GU 96910(671) 344-9340 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2023, Feb 16, 2023 (2 updates tracked since 2023).

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 and is a graduate of Tulane University School Of Medicine (2012).

NPPES Registry Identity

NPI1487917472
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SEAN S KIMCredential: M.D.
Location AddressFARENHOLT AVEAgana Heights, GU 96910
Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2012
Enumeration DateJune 24, 2012
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1487917472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0101254506 Licensed in TX · W3277
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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. Sean S Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911306907
PECOS Enrollment IDI20260508000074, I20260528003381
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 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.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 5

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

Emergency Medicine
FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Clinical Nurse Specialist (Gerontology)
FARENHOLT AVE, BUILDING #50
AGANA HEIGHTS, GU 96910
Family Medicine
FARENHOLT AVE, BUILDING #50
AGANA HEIGHTS, GU 96910
Nurse Anesthetist, Certified Registered
FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Clinical Nurse Specialist (Emergency)
FARENHOLT AVE, BLDG #50
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.

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 2 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.