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SUNG SUP KIM M.D. NPI 1700822541


NPI Information

NPI: 1700822541
Provider Name: SUNG SUP KIM, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
5140 N CALIFORNIA AVE
SUITE 465-GMP
CHICAGO, IL
ZIP 60625
Phone: (773) 271-8700
Get Directions

Sung Sup Kim, M.D. is an interventional cardiology internal medicine in Chicago, IL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Sung Sup Kim, M.D. NPI is 1700822541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE 465-GMP
CHICAGO, IL
ZIP 60625-645
Phone: (773) 271-8700
Fax: (773) 271-5912

The NPI 1700822541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 4/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease036-078576ILLINOISNo
2207RI0011XInternal MedicineInterventional Cardiology036078576ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036078576MEDICAIDILLINOIS
2K39415OTHERILLINOISMEDICARE ID
3080066025OTHERRAILROAD MEDICARE PTAN#
4DF8696OTHERRAILROAD MEDICARE PTAN#
531604584OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.