DR. NATHAN SUNG IN KIM MD
NPI 1558823922
Family Medicine in Daytona Beach, FL
About Dr. Nathan Sung In Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATHAN SUNG IN KIM MD (NPI 1558823922) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (ME148046) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains a secondary practice location in Daytona Beach.
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 and accepts Medicare assignment
Dr. Nathan Sung In Kim Md 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 Nathan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Deland, FL 32720
- Reassigned Medicare billing, Florida enrollment
- 14 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth New Smyrna Beach
Acute Care Hospitals · New Smyrna Beach, FLAdventhealth Deland
Acute Care Hospitals · Deland, FLAdventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLAdventhealth Fish Memorial
Acute Care Hospitals · Orange City, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Nathan Kim's NPI number?
The NPI number for Nathan Kim is 1558823922. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Nathan Kim located?
Nathan Kim practices at 1890 Lpga Blvd Ste 170, Daytona Beach, FL 32117. The listed phone number is (386) 425-3370.
What is Nathan Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nathan Kim enrolled in Medicare?
Yes. Nathan 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 Nathan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Kim reassigns Medicare benefits to West Volusia Family And Sports Medicine Inc (Deland, FL). 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 Nathan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Kim accept?
Health plans from Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nathan 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.
Is Nathan Kim affiliated with any hospitals?
According to CMS data, Nathan Kim is affiliated with Adventhealth New Smyrna Beach, Adventhealth Deland, Adventhealth Daytona Beach and Adventhealth Fish Memorial.
When was this NPI record last updated?
The NPPES record for Nathan Kim was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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. Nathan Sung In Kim, MD · NPI 1558823922
Family Medicine physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1558823922 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME148046 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1890 LPGA BLVD STE 170, Daytona Beach, FL 32117-7131
- **Phone:** (386) 425-3370
## 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:** West Volusia Family And Sports Medicine Inc (NPI 1548584600, Deland, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558823922) · Data from the CMS NPPES public registry.