YO SUP KIM MD
NPI 1760001572
Radiology - Diagnostic Radiology in Sacramento, CA
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Yo Sup Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Sacramento, CA 95833
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
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.
Which organizations bill Medicare for Yo Sup Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yo Sup Kim reassigns Medicare benefits to 4 organizations: Sutter Bay Medical Foundation (Sacramento, CA), Sutter Valley Medical Foundation (Sacramento, CA), Stanford Health Care (Pleasanton, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yo Sup Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
# Yo Sup Kim, MD · NPI 1760001572
Diagnostic Radiology physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 11, 2020.
## Identity
- **NPI:** 1760001572 (Entity type: Individual)
- **Enumerated:** April 11, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A200645 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 STOCKTON BLVD STE 207, Sacramento, CA 95816-7092
- **Phone:** (916) 887-7862 · **Fax:** (916) 736-5533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1003267196, Sacramento, CA); Sutter Valley Medical Foundation (NPI 1952327256, Sacramento, CA); Stanford Health Care (NPI 1124561758, Pleasanton, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760001572) · Data from the CMS NPPES public registry.