SUNWOO KIM
NPI 1669268504
Student in an Organized Health Care Education/Training Program in Portsmouth, NH

Active since April 17, 2025PECOS Enrolled
333 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 436-5110 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Sep 8, 2025 (2 updates tracked since 2025).

About Sunwoo Kim NPPES

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

SUNWOO KIM (NPI 1669268504) is an individual student in an organized health care education/training program in Portsmouth, New Hampshire and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Somersworth.

NPPES Registry Identity

NPI1669268504
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUNWOO KIM
Location Address333 BORTHWICK AVEPortsmouth, NH 03801-7128
Mailing Address100 Eileen Dondero Foley Ave, Suite 110Portsmouth, NH 03801 · (603) 368-6500
Sole ProprietorNo
Enumeration DateApril 17, 2025
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1669268504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
333 BORTHWICK AVE, Portsmouth, NH 03801

Secondary Practice Location 1

Location 1311 Route 108Somersworth, NH 03878-1522 · Phone (603) 749-2346

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sunwoo 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.

Other Providers at the Same Location NPPES 20

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

Surgery
333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Psychiatric Unit
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801

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 Sunwoo Kim's NPI number?

The NPI number for Sunwoo Kim is 1669268504. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Sunwoo Kim located?

Sunwoo Kim practices at 333 Borthwick Ave, Portsmouth, NH 03801. The listed phone number is (603) 436-5110.

What is Sunwoo Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sunwoo Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sunwoo Kim was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.