DR. NATHAN SUNG IN KIM (MD) – Family Medicine Physician, NPI 1558823922
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
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Provider Addresses for DR. NATHAN SUNG IN KIM (MD)
North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32117, United States
DAYTONA BEACH, FL 321142765
Phone:
Type: Mailing
1590 S STATE ROAD 15A STE 100
DELAND, FL 327207817
Phone: (386) 774-0016
Fax: (386) 774-0606
Type: Location
309 PALM COAST PKWY NE
PALM COAST, FL 321373886
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $1,256.
Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($239).
Total Amount
$1,256
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $239 |
| AstraZeneca Pharmaceuticals LP | $150 |
| Supernus Pharmaceuticals, Inc. | $126 |
| GENZYME CORPORATION | $125 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $121 |
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: 2022-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220813000194 | I | Family Practice | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sports Medicine | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | OK | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | KY |
Reviews
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