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MIKE SUNWOO KIM DO
NPI 1568022242
Internal Medicine in Keesler Afb, MS

Active since June 16, 2019PECOS Enrolled
301 FISHER ST RM 1G123, KEESLER AFB, MS 39534(228) 376-0577(228) 376-0103 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2023, Jul 29, 2022, Jul 11, 2022 and 1 more (4 updates tracked since 2019).

About Mike Sunwoo Kim Do NPPES

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

MIKE SUNWOO KIM DO (NPI 1568022242) is an individual internal medicine provider in Keesler Afb, Mississippi, licensed in Georgia (91050) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568022242
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMIKE SUNWOO KIMCredential: DO
Location Address301 FISHER ST RM 1G123Keesler Afb, MS 39534-2519
Mailing Address301 Fisher St Rm 1g123Keesler Afb, MS 39534-2519 · (282) 376-0577
Phone(228) 376-0577
Fax(228) 376-0103
Sole ProprietorNo
Enumeration DateJune 16, 2019
Last NPPES UpdateJune 28, 20234 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1568022242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 91050
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

301 FISHER ST RM 1G123, Keesler Afb, MS 39534
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mike Sunwoo Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39534 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 17

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

DR. LAKIN R DAMMER DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
BILOXI, MS 39534
Harrison County (228) 376-3728
PRISCILLA TUBBS DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
KEESLER AFB, MS 39534
Harrison County (228) 376-0577
JARED NEWSOM DO
Military Health Care Provider
301 FISHER ST RM 1G123
KEESLER AFB, MS 39534
Harrison County (228) 376-2273
KODY LEE STROSCHEIN DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
KEESLER AFB, MS 39534
Harrison County (228) 376-2273
DR. NICHOLAS STINSON DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
KEESLER AFB, MS 39534
Harrison County (228) 376-3728
DR. JACOB GUTMAN DO
Military Health Care Provider
301 FISHER ST RM 1G123
BILOXI, MS 39534
Harrison County (228) 376-3728
NICHOLAS PULCIANO DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
BILOXI, MS 39534
Harrison County (626) 833-7082
JACOB NGUYEN DO
Student in an Organized Health Care Education/Training Program
301 FISHER ST RM 1G123
KEESLER AFB, MS 39534
Harrison County (228) 376-3728

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 Mike Kim's NPI number?

The NPI number for Mike Kim is 1568022242. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Mike Kim located?

Mike Kim practices at 301 Fisher St Rm 1g123, Keesler Afb, MS 39534. The listed phone number is (228) 376-0577.

What is Mike Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mike Kim enrolled in Medicare?

Yes. Mike Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mike Kim was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.