Kiup Alexander Kim, MD, RPVI - Medicare General Surgery in Phoenix, AZ

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Kiup Alexander Kim, MD, RPVI is a medicare enrolled "Surgery - Vascular Surgery" physician in Phoenix, Arizona. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Advanced Minimally Invasive Surgical and his current practice location is 202 E Earll Dr Ste 360, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 788-5621.

Kiup Alexander Kim is licensed to practice in Arizona (license number 42708) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225242985.

Contact Information

Kiup Alexander Kim, MD, RPVI
202 E Earll Dr Ste 360,
Phoenix, AZ 85012-2677
(480) 788-5621
(480) 779-1277

Map and Direction




Physician's Profile

Full NameKiup Alexander Kim
GenderMale
SpecialityGeneral Surgery
Experience21 Years
Location202 E Earll Dr Ste 360, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kiup Alexander Kim graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1225242985
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 08/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668501586
  • Enrollment ID: I20100602000230

Medical Identifiers

Medical identifiers for Kiup Alexander Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225242985NPI-NPPES
1225242985OtherAZNPI
Z139140OtherAZPTAN
501341MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 42708 (Arizona)Secondary
2086S0129XSurgery - Vascular Surgery 42708 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Minimally Invasive Surgical418375852718

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kiup Alexander Kim allows following entities to bill medicare on his behalf.
Entity NameProgressive Pain Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881866754
PECOS PAC ID: 1153490727
Enrollment ID: O20080522000123
Entity NameAdvanced Minimally Invasive Surgical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295056919
PECOS PAC ID: 4183758527
Enrollment ID: O20100819001272
Entity NameMaria Gonzalez Berlari Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699025981
PECOS PAC ID: 2769625854
Enrollment ID: O20130820001092
Entity NameObl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508430661
PECOS PAC ID: 0345605523
Enrollment ID: O20230421000745

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiup Alexander Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kiup Alexander Kim, MD, RPVI
202 E Earll Dr Ste 360,
Phoenix, AZ 85012-2677

Ph: (480) 788-5621		Kiup Alexander Kim, MD, RPVI
202 E Earll Dr Ste 360,
Phoenix, AZ 85012-2677

Ph: (480) 788-5621

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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