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SARA SUZANNE KIM
NPI 1578208807
Nurse Practitioner - Family in Sugar Grove, IL

Active since May 02, 2022PECOS Enrolled
841 BLACK WALNUT DR, SUGAR GROVE, IL 60554(630) 802-4308 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 16, 2022, May 2, 2022 (2 updates tracked since 2022).

About Sara Suzanne Kim NPPES

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

SARA SUZANNE KIM (NPI 1578208807) is an individual family provider in Sugar Grove, Illinois, licensed in Illinois (209.025100) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578208807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA SUZANNE KIM
Location Address841 BLACK WALNUT DRSugar Grove, IL 60554-9277
Mailing Address841 Black Walnut DrSugar Grove, IL 60554-9277 · (630) 802-6612
Phone(630) 802-4308
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateJune 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1578208807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.025100
841 BLACK WALNUT DR, Sugar Grove, IL 60554
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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)

Sara Suzanne Kim 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 60554 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Sara Kim's NPI number?

The NPI number for Sara Kim is 1578208807. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Sara Kim located?

Sara Kim practices at 841 Black Walnut Dr, Sugar Grove, IL 60554. The listed phone number is (630) 802-4308.

What is Sara Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sara Kim was last updated on June 13, 2022. 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.