1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Dentist
  6. NPI Profile

DR. SUNG KYUNG KIM DDS
NPI 1740842129
Dentist - General Practice in Indianapolis, IN

Active since July 05, 2019Opted out of Medicare · through Aug 8, 2027
3808 N LAWNDALE AVE, INDIANAPOLIS, IN 46254(317) 297-4502 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2022, Jul 26, 2019, Jul 5, 2019 (3 updates tracked since 2019).

About Dr. Sung Kyung Kim Dds NPPES

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

DR. SUNG KYUNG KIM DDS (NPI 1740842129) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12013227A) and active in the NPI registry since July 2019. She has opted out of Medicare through August 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740842129
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUNG KYUNG KIMCredential: DDS
Location Address3808 N LAWNDALE AVEIndianapolis, IN 46254-2814
Mailing Address3808 N Lawndale AveIndianapolis, IN 46254-2814 · (317) 297-4502
Phone(317) 297-4502
Sole ProprietorNo
Enumeration DateJuly 5, 2019
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1740842129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12013227A✔ Licensed in IL · 019.032277
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3808 N LAWNDALE AVE, Indianapolis, IN 46254
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sung Kyung Kim Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2019 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2019
Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 3

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

DR. JANET ANNE POLE DDS
Dentist (General Practice)
3808 N LAWNDALE AVE
INDIANAPOLIS, IN 46254
Marion County (317) 297-4502
WEST 38TH DENTAL, LTD
Dentist
3808 N LAWNDALE AVE
INDIANAPOLIS, IN 46254
Marion County (317) 297-4502
DR. LLOYD MICHAEL STROPES DDS,MSD
Dentist (General Practice)
3808 N LAWNDALE AVE
INDIANAPOLIS, IN 46254
Marion County (317) 297-4502

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 Kyung Kim's NPI number?

The NPI number for Sung Kyung Kim is 1740842129. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Sung Kyung Kim located?

Sung Kyung Kim practices at 3808 N Lawndale Ave, Indianapolis, IN 46254. The listed phone number is (317) 297-4502.

What is Sung Kyung Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sung Kyung Kim enrolled in Medicare?

No. Sung Kyung Kim has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sung Kyung Kim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Sung Kyung 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.

When was this NPI record last updated?

The NPPES record for Sung Kyung Kim was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.