SANG U KIM (M.D.) – Gastroenterology Physician, NPI 1225070170

SANG U KIM (M.D.) is a healthcare provider. based in Durango, Colorado. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. MD00030024 (WA). The NPI Number for SANG U KIM (M.D.) is 1225070170

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SANG U KIM (M.D.)
NPI
1225070170
Phone
(970) 764-3800
Address
1010 Three Springs Blvd Ste 270
Enumeration Date
12 June 2006
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254544768
Graduation Year
1990 (36 years ago)
PAC ID
0042229924
Group Practice PAC ID
6204194848
Professional Enrollment ID
I20060420000654
Address ID
WA980044631BE1135XNEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

369 GASTROENTEROLOGY in CO

Provider Addresses for SANG U KIM (M.D.)

  • 1010 Three Springs Blvd Ste 270

    Durango, CO 813018296

    Phone: (970) 764-3800

    Type: Location

  • 1135, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States

    SUITE 560

    BELLEVUE, WA 980044623

    Phone: (425) 467-0150

    Fax: (425) 467-0599

    Type: Location

  • PO BOX 84088

    SEATTLE, WA 981248488

    Phone: (425) 454-5281

    Fax: (425) 990-5261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $2,567.

Total Amount is formed as General ($2,567) + Research ($0) + Ownership ($0) = $2,567.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($593).

Total Amount

$2,567

General + Research + Ownership

Payments

79

Total payment records

General Amount

$2,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-04-20

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
I20060420000654IGastroenterologyWATBD

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
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month16217$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month9817$0
45380Biopsy of large bowel using a flexible endoscope7979$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6564$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5655$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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Provider's Procedures

SANG U KIM (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYWA45385Removal of polyps or growths of large bowel using an endoscope5555

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: 6204194848View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AK
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantWA
-WA
Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)WA
-WA

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Frequently asked questions

How is SANG U KIM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists SANG U KIM (M.D.) with NPI 1225070170.
Can I rely on SANG U KIM (M.D.) being an active provider?
As of the registry snapshot, SANG U KIM (M.D.) is marked active.
What taxonomy line describes SANG U KIM (M.D.)?
For research purposes, treat SANG U KIM (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SANG U KIM (M.D.) list a practice location?
Patients near Durango, Colorado may find SANG U KIM (M.D.) in results; validate coverage separately.
Is the information about SANG U KIM (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."