SUNG DO KIM
NPI 1689318735
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since April 25, 2022PECOS Enrolled
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-5955 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Apr 25, 2022 (2 updates tracked since 2022).

About Sung Do Kim NPPES

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

SUNG DO KIM (NPI 1689318735) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689318735
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUNG DO KIM
Location Address825 FAIRFAX AVENorfolk, VA 23507-1914
Mailing AddressPo Box 1980Norfolk, VA 23501-1980
Sole ProprietorNo
Enumeration DateApril 25, 2022
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1689318735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedAcupuncturistTaxonomy 171100000X · License 0121000979 (VA)
825 FAIRFAX AVE, Norfolk, VA 23507

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sung Do 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.

Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507

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 Sung Do Kim's NPI number?

The NPI number for Sung Do Kim is 1689318735. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Sung Do Kim located?

Sung Do Kim practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-5955.

What is Sung Do 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 Sung Do Kim enrolled in Medicare?

Yes. Sung Do Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sung Do Kim was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.