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SUNGHOON KIM M.D.
NPI 1902833395
Surgery - Pediatric Surgery in Indianapolis, IN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8040 CLEARVISTA PKWY STE 340, INDIANAPOLIS, IN 46256(317) 621-2660 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 1, 2017 and 2 more (5 updates tracked since 2017).

About Sunghoon Kim M.d. NPPES

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

SUNGHOON KIM M.D. (NPI 1902833395) is an individual pediatric surgery provider in Indianapolis, Indiana, licensed in Indiana (01078501A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1902833395
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameSUNGHOON KIMCredential: M.D.
Location Address8040 CLEARVISTA PKWY STE 340Indianapolis, IN 46256-4673
Mailing Address744 52nd St, Suite 4100Oakland, CA 94609-1810 · (510) 428-3022 · Fax (510) 428-3405
Phone(317) 621-2660
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1902833395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in IN · 01078501A✔ Licensed in CA · A60075
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
8040 CLEARVISTA PKWY STE 340, Indianapolis, IN 46256
Open in Google Maps ↗

Secondary Practice Location 1

Location 1744 52nd St, Suite 4100Oakland, CA 94609-1810 · Phone (510) 428-3022 · Fax (510) 428-3405

Other Identifiers 3

Medicaid00A600750CA
Medicaid300002154IN
Other266180957IN · Medicare

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

Sunghoon Kim M.d. 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 ID7911215827
PECOS Enrollment IDI20150925001685
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 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Sunghoon Kim's NPI number?

The NPI number for Sunghoon Kim is 1902833395. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Sunghoon Kim located?

Sunghoon Kim practices at 8040 Clearvista Pkwy Ste 340, Indianapolis, IN 46256. The listed phone number is (317) 621-2660.

What is Sunghoon Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Sunghoon Kim enrolled in Medicare?

Yes. Sunghoon 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 Sunghoon Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.