Dr Samuel Sungwon Kim, MD in Encino, CA

Dr Samuel Sungwon Kim, MD is a medicare enrolled "Pediatrics" physician in Encino, California. His current practice location is 5400 Balboa Blvd Ste 326, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 789-0941.

Dr Samuel Sungwon Kim is licensed to practice in California (license number A114873) 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 1023310687.

Contact Information

	Dr Samuel Sungwon Kim, MD
	5400 Balboa Blvd Ste 326, Encino, CA 91316-5214
	(818) 789-0941
	(818) 789-6726

Map and Direction

Physician's Profile

Full Name	Dr Samuel Sungwon Kim
Gender	Male
Speciality	Pediatrics
Location	5400 Balboa Blvd Ste 326, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023310687
Provider Enumeration Date: 12/02/2010
Last Update Date: 02/10/2026

Medicare PECOS Information:

PECOS PAC ID: 3173949344
Enrollment ID: I20201016001702

Medical Identifiers

Medical identifiers for Dr Samuel Sungwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023310687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A114873 (California)	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. Dr Samuel Sungwon Kim allows following entities to bill medicare on his behalf.

Entity Name	Culminate Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780349985 PECOS PAC ID: 6507236486 Enrollment ID: O20230111000168

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. Dr Samuel Sungwon 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 Address	Practice Location Address
Dr Samuel Sungwon Kim, MD 5400 Balboa Blvd Ste 326, Encino, CA 91316-5214 Ph: (818) 789-0941	Dr Samuel Sungwon Kim, MD 5400 Balboa Blvd Ste 326, Encino, CA 91316-5214 Ph: (818) 789-0941

Reviews and Comments

Pediatrics Doctors in Encino, CA

Laura Bruckner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd Ste 326, Encino, CA 91316 Phone: 818-789-8775 Fax: 818-789-6726
Dr. Milton Leon Kolchins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 Balboa Blvd, Suite # 105, Encino, CA 91316 Phone: 818-789-0347 Fax: 818-789-3937
Dr. Saied Dallalzadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd Ste 718, Encino, CA 91436 Phone: 818-986-0006 Fax: 818-986-2333
Dr. Peter Rees Shulman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5353 Balboa Blvd, Suite 104, Encino, CA 91316 Phone: 818-789-7181 Fax: 818-986-8322
Yousef Mehrabi, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 16030 Ventura Blvd Ste 140, Encino, CA 91436 Phone: 818-609-9997 Fax: 818-609-9987
Dr. Joel G. Auerbach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5353 Balboa Blvd, #200, Encino, CA 91316 Phone: 818-461-9690 Fax: 818-461-9482

Dr Samuel Sungwon Kim, MD - Medicare Pediatrics in Encino, CA