SUNGWOOK S KIM MD
NPI 1871798900
Family Medicine in Henderson, NV

Q: What is Sungwook Kim's NPI number?

The NPI number for Sungwook Kim is 1871798900. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Sungwook Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sungwook Kim was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment

75.47/100

CMS Quality Rating

1720 W HORIZON RIDGE PKWY STE 140, HENDERSON, NV 89012(702) 566-5445(702) 566-5035 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 2, 2023, Oct 24, 2018 (2 updates tracked since 2018).

On this page

About Sungwook S Kim Md NPPES

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

SUNGWOOK S KIM MD (NPI 1871798900) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (12166) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1871798900

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSUNGWOOK S KIMCredential: MD

Location Address1720 W HORIZON RIDGE PKWY STE 140Henderson, NV 89012-4896

Mailing Address1450 W Horizon Ridge Pkwy Ste B304 # 570Henderson, NV 89012-4480 · (702) 566-5445 · Fax (702) 566-5035

Phone(702) 566-5445

Fax(702) 566-5035

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 19, 2007

Last NPPES UpdateMay 2, 20232 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1871798900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 12166

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1720 W HORIZON RIDGE PKWY STE 140, Henderson, NV 89012

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

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

Sungwook S 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 ID1850485152

PECOS Enrollment IDI20070918000177

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.

Medicare Billing Reassignment

Medicare enrollment records show Sungwook Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

S And S Kim Group PC

Same address

Family Medicine

1720 W HORIZON RIDGE PKWY STE 140
Henderson, NV 89012

Reassigned Medicare billing, Nevada enrollment

NPI 1134323561 (702) 566-5445

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

722 services234 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

282 services138 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

188 services101 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

123 services123 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

96 services96 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

90 services90 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

88 services88 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

79 services79 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

33 services23 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

23 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services15 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89012 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

88.67

Improvement Activities

Cost

33.33

Reported Quality Measures

Breast Cancer Screening

58%135 patients3/55-star benchmark: 93%

Cervical Cancer Screening

36%121 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

52%23 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

61%339 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

59%285 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

16%62 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

15%62 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%1,983 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

56%312 patients3/55-star benchmark: 100%

HIV Screening

5%286 patients1/55-star benchmark: 60%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%857 patients2/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%135 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 8% · 317 patients

Patients totalRate: 18% · 323 patients

13%323 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers34 claims71 services$6.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers11 claims13 services$1.09 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers12 claims72 services$15.30 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers18 claims18 services$47.06 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers11 claims11 services$15.06 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers14 claims14 services$11.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

S AND S KIM GROUP PC

Family Medicine

1720 W HORIZON RIDGE PKWY STE 140
HENDERSON, NV 89012

Clark County (702) 566-5445

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 Sungwook Kim's NPI number?

The NPI number for Sungwook Kim is 1871798900. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Sungwook Kim located?

Sungwook Kim practices at 1720 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89012. The listed phone number is (702) 566-5445.

What is Sungwook Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sungwook Kim enrolled in Medicare?

Yes. Sungwook 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 organization bills Medicare for Sungwook Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sungwook Kim reassigns Medicare benefits to S And S Kim Group PC (Henderson, NV). The 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 Sungwook Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sungwook Kim accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Sungwook Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sungwook Kim was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.