DR. SUNG HWAN KIM (M.D.) – Anesthesiology Physician, NPI 1013967504

DR. SUNG HWAN KIM (M.D.) is a healthcare provider. based in Santa ana, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A31842 (CA). The NPI Number for DR. SUNG HWAN KIM (M.D.) is 1013967504

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUNG HWAN KIM (M.D.)
NPI
1013967504
Phone
(800) 883-7243
Address
210 N TUSTIN AVE
Enumeration Date
12 May 2006
Last Update Date
3 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2134133000
Graduation Year
1971 (55 years ago)
PAC ID
1850331679
Group Practice PAC ID
6608009766
Professional Enrollment ID
I20050510001259
Address ID
CA900276098LO1300XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,369 ANESTHESIOLOGY in CA

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Provider Addresses for DR. SUNG HWAN KIM (M.D.)

  • 210, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States

    SANTA ANA, CA 927053807

    Phone: (800) 883-7243

    Fax: (714) 647-1245

    Type: Mailing

  • CHA Hollywood Presbyterian Medical Center, 1300, North Vermont Avenue, East Hollywood, Los Angeles, Los Angeles County, California, 90029, United States

    LOS ANGELES, CA 900276005

    Phone: (213) 413-3000

    Fax: (323) 953-6338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050510001259IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01844Anesthesia for placement or revision of blood flow shunt3025$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 92705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608009766View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
-CA
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

What is DR. SUNG HWAN KIM (M.D.)'s NPI number?
DR. SUNG HWAN KIM (M.D.)'s NPI is 1013967504 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. SUNG HWAN KIM (M.D.)?
For scheduling context, DR. SUNG HWAN KIM (M.D.) is shown as active in the registry.
What expertise is attributed to DR. SUNG HWAN KIM (M.D.)?
DR. SUNG HWAN KIM (M.D.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUNG HWAN KIM (M.D.) located near Santa Ana?
DR. SUNG HWAN KIM (M.D.) currently maps to Santa Ana, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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