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SUNGGEUN SAMUEL IM MD
NPI 1770510901
Surgery in Battle Creek, MI

Active since June 26, 2006PECOS Enrolled
11199 31/2 MILE ROAD, BATTLE CREEK, MI 49015(269) 979-2501(269) 979-2501 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunggeun Samuel Im Md NPPES

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

SUNGGEUN SAMUEL IM MD (NPI 1770510901) is an individual surgery provider in Battle Creek, Michigan, licensed in California (C55339) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770510901
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSUNGGEUN SAMUEL IMCredential: MD
Location Address11199 31/2 MILE ROADBattle Creek, MI 49015
Mailing Address11199 3 1/2 Mile RdBattle Creek, MI 49015-9370 · (269) 979-2501 · Fax (269) 979-2501
Phone(269) 979-2501
Fax(269) 979-2501
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1770510901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · C55339✔ Licensed in GU · M-1695
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 31469 (MI)
11199 31/2 MILE ROAD, Battle Creek, MI 49015
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Other Identifiers 4

Medicare ID-Type Unspecified0130302
Medicare PINDG439ZGU
Medicare UPINB44189
Medicaid1077038MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunggeun Samuel Im 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 49015 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Sunggeun Im's NPI number?

The NPI number for Sunggeun Im is 1770510901. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Sunggeun Im located?

Sunggeun Im practices at 11199 31/2 Mile Road, Battle Creek, MI 49015. The listed phone number is (269) 979-2501.

What is Sunggeun Im's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sunggeun Im enrolled in Medicare?

Yes. Sunggeun Im is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sunggeun Im was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.