SUNGHOON KIM M.D.
NPI 1902833395
Surgery - Pediatric Surgery in Indianapolis, IN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Sunghoon Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 761 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 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.
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.
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.
Which organizations bill Medicare for Sunghoon Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunghoon Kim reassigns Medicare benefits to 4 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, 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 Sunghoon 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 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.
# Sunghoon Kim, M.D. · NPI 1902833395
Pediatric Surgery physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1902833395 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 01078501A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8040 CLEARVISTA PKWY STE 340, Indianapolis, IN 46256-4673
- **Phone:** (317) 621-2660
## 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): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Dept Of Surgery (NPI 1477627537, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1994
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 00A600750 (CA); Medicaid 300002154 (IN); Other 266180957 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1902833395) · Data from the CMS NPPES public registry.