Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YO SUP KIM MD
NPI 1760001572
Radiology - Diagnostic Radiology in Sacramento, CA

Active since April 11, 2020PECOS Enrolled
1625 STOCKTON BLVD STE 207, SACRAMENTO, CA 95816(916) 887-7862(916) 736-5533 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, Sep 18, 2025, Sep 10, 2025 and 1 more (4 updates tracked since 2020).

About Yo Sup Kim Md NPPES

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

YO SUP KIM MD (NPI 1760001572) is an individual diagnostic radiology provider in Sacramento, California, licensed in California (A200645) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2020).

NPPES Registry Identity

NPI1760001572
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameYO SUP KIMCredential: MD
Location Address1625 STOCKTON BLVD STE 207Sacramento, CA 95816-7092
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Fax(916) 736-5533
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2020
Enumeration DateApril 11, 2020
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1760001572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A200645
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1625 STOCKTON BLVD STE 207, Sacramento, CA 95816

Secondary Practice Locations 2

Location 11130 W Michigan St Ste 318Indianapolis, IN 46202-5209 · Phone (317) 274-8282
Location 2300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yo Sup Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103257506
PECOS Enrollment IDI20250514001533
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 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 8

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

Physician Assistant
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Internal Medicine
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Nuclear Medicine
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816

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 Yo Sup Kim's NPI number?

The NPI number for Yo Sup Kim is 1760001572. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Yo Sup Kim located?

Yo Sup Kim practices at 1625 Stockton Blvd Ste 207, Sacramento, CA 95816. The listed phone number is (916) 887-7862.

What is Yo Sup Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Yo Sup Kim enrolled in Medicare?

Yes. Yo Sup Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yo Sup Kim was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.