Sunghoon Kim, MD - Medicare Surgery in Indianapolis, IN

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Sunghoon Kim, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Indianapolis, Indiana. His current practice location is 8040 Clearvista Pkwy Ste 340, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-2660.

Sunghoon Kim is licensed to practice in Indiana (license number 01078501A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902833395.

Contact Information

Sunghoon Kim, MD
8040 Clearvista Pkwy Ste 340,
Indianapolis, IN 46256-4673
(317) 621-2660
Not Available

Map and Direction




Physician's Profile

Full NameSunghoon Kim
GenderMale
SpecialitySurgery - Pediatric Surgery
Location8040 Clearvista Pkwy Ste 340, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902833395
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911215827
  • Enrollment ID: I20150925001685

Medical Identifiers

Medical identifiers for Sunghoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902833395NPI-NPPES
300002154MedicaidIN
00A600750MedicaidCA
266180957OtherINMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery A60075 (California)Secondary
2086S0120XSurgery - Pediatric Surgery 01078501A (Indiana)Primary

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. Sunghoon Kim allows following entities to bill medicare on his behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameCardiothoracic Surgery Consultants,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225056930
PECOS PAC ID: 9133124027
Enrollment ID: O20060927000558
Entity NameAristamd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235671660
PECOS PAC ID: 5092120816
Enrollment ID: O20210209000178

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. Sunghoon 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
Sunghoon Kim, MD
744 52nd St, Suite 4100,
Oakland, CA 94609-1810

Ph: (510) 428-3022		Sunghoon Kim, MD
8040 Clearvista Pkwy Ste 340,
Indianapolis, IN 46256-4673

Ph: (317) 621-2660

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.