DR. SUNYOUNG OH KIM MD
NPI 1750840377
Dermatology in Fort Campbell, KY

Q: What is Sunyoung Kim's NPI number?

The NPI number for Sunyoung Kim is 1750840377. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Q: What is Sunyoung Kim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunyoung Kim was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since March 13, 2019PECOS Enrolled

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400(270) 798-8224 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Mar 18, 2021, Sep 2, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Sunyoung Oh Kim Md NPPES

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

DR. SUNYOUNG OH KIM MD (NPI 1750840377) is an individual dermatology provider in Fort Campbell, Kentucky, licensed in Nebraska (32851) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750840377

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. SUNYOUNG OH KIMCredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400 · Fax (270) 798-8224

Phone(270) 798-8400

Fax(270) 798-8224

Sole ProprietorNo

Enumeration DateMarch 13, 2019

Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1750840377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NE · 32851

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 32851 (NE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 JOEL DR, Fort Campbell, KY 42223

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Secondary Practice Locations 2

Location 11100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 292-5350

Location 2301 Andrews AvenueFt Rucker, AL 36362 · Phone (334) 255-7917

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunyoung Oh Kim Md 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 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

LISA RENEE CORDELL RN

Registered Nurse