SUNG SUP KIM M.D. NPI 1700822541

NPI Information

  • NPI: 1700822541
  • Provider Name: SUNG SUP KIM, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • Address: 5140 N CALIFORNIA AVE
    SUITE 465-GMP
    CHICAGO, IL
    ZIP 60625
  • Phone: (773) 271-8700

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NPI Details

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 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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