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ANGIE SUNJEONG KIM
NPI 1790589455
Surgery in Dover, DE

Active since April 02, 2025PECOS Enrolled
640 S STATE ST, DOVER, DE 19901(302) 744-6999 Get Directions Write a Review

NPPES record last updated: February 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2026, Apr 2, 2025 (2 updates tracked since 2025).

About Angie Sunjeong Kim NPPES

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

ANGIE SUNJEONG KIM (NPI 1790589455) is an individual surgery provider in Dover, Delaware, licensed in Delaware (C7-0018905) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790589455
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameANGIE SUNJEONG KIM
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S State StDover, DE 19901-3530
Phone(302) 744-6999
Sole ProprietorNo
Enumeration DateApril 2, 2025
Last NPPES UpdateFebruary 8, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2026
✔ NPI 1790589455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in DE · C7-0018905
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.
640 S STATE ST, Dover, DE 19901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie Sunjeong Kim 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 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

JOHN MCARTOR
Pharmacist
640 S STATE ST
DOVER, DE 19901
Kent County (302) 744-7018
FRANCIS LIM MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (419) 276-1194
SUMUKH ARUN KUMAR MD
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
ABIGAIL KOZHUHAROV
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
SAFWAN MUHAMMAD MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (879) 022-5410
MS. REBECCA SUZANNE ANTAL PA-C
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
DONNA MARIE SHORT R.PH.
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Kent County (302) 744-7018
MARY KATHERINE TROYER RN
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700

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 Angie Kim's NPI number?

The NPI number for Angie Kim is 1790589455. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Angie Kim located?

Angie Kim practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 744-6999.

What is Angie Kim's specialty?

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

Is Angie Kim enrolled in Medicare?

Yes. Angie Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angie Kim was last updated on February 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.