DR. TONY SUNG SOO KIM (MD) – Emergency Medicine Physician, NPI 1609866573

DR. TONY SUNG SOO KIM (MD) is a healthcare provider. based in Denver, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. DR.0062257 (CO). The NPI Number for DR. TONY SUNG SOO KIM (MD) is 1609866573

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. TONY SUNG SOO KIM (MD)
NPI
1609866573
Phone
(877) 346-2211
Address
PO BOX 173891
Enumeration Date
24 October 2005
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7193645000
Graduation Year
1999 (27 years ago)
PAC ID
8527352889
Group Practice PAC ID
2860489242
Professional Enrollment ID
I20190817000083
Address ID
CO809207815CO4050XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,190 EMERGENCY MEDICINE in CO

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Provider Addresses for DR. TONY SUNG SOO KIM (MD)

  • Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States

    DENVER, CO 802173891

    Phone: (877) 346-2211

    Type: Mailing

  • Memorial Hospital Central, 1400, East Boulder Street, Colorado Springs, El Paso County, Colorado, 80909, United States

    COLORADO SPRINGS, CO 809095533

    Phone: (719) 884-2000

    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: 2019-08-17

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
I20190817000083IEmergency MedicineCOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only219199$0
99285Emergency department visit with high level of medical decision making170168$0
99284Emergency department visit with moderate level of medical decision making106105$0
99291Critical care, first 30-74 minutes9996$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 80217)

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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: 2860489242View full group profile
NameSpecialtyState
Physician AssistantCO
Emergency MedicineNC
Nurse PractitionerCO
Nurse PractitionerCO
Emergency MedicineCO
Nurse PractitionerCO
Emergency MedicineCO
-CO
Emergency MedicineIN
Emergency MedicineCO

Reviews

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Frequently asked questions

What is DR. TONY SUNG SOO KIM (MD)'s NPI number?
DR. TONY SUNG SOO KIM (MD)'s NPI is 1609866573 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. TONY SUNG SOO KIM (MD)?
You should see DR. TONY SUNG SOO KIM (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. TONY SUNG SOO KIM (MD)?
At a glance, DR. TONY SUNG SOO KIM (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is DR. TONY SUNG SOO KIM (MD) registered?
Use Denver, Colorado as the headline location for DR. TONY SUNG SOO KIM (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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