SUE J. KIM (MD) – Otolaryngology Physician, NPI 1124014642

SUE J. KIM (MD) is a healthcare provider. based in Glenview, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 036109449 (IL). The NPI Number for SUE J. KIM (MD) is 1124014642

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SUE J. KIM (MD)
NPI
1124014642
Phone
(847) 729-9122
Address
3633 W Lake Ave
Enumeration Date
20 September 2005
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8475042300
Graduation Year
1999 (27 years ago)
PAC ID
2466553896
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20070728000198
Address ID
IL600622802NO501XXBLVD300

Contacts

Secure Messaging
skim20668@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

488 OTOLARYNGOLOGY in IL

Provider Addresses for SUE J. KIM (MD)

  • 3633 W Lake Ave

    Suite 300

    Glenview, IL 600265805

    Phone: (847) 729-9122

    Fax: (847) 729-9134

    Type: Location

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Type: Mailing

  • 501 SKOKIE BLVD

    NORTHBROOK, IL 600622802

    Phone: (847) 504-3300

    Fax: (847) 504-3305

    Type: Location

  • 35422 EAGLE WAY

    CHICAGO, IL 606781354

    Phone:

    Type: Mailing

  • 3633, West Lake Avenue, Glenview, Northfield Township, Cook County, Illinois, 60026, United States

    SUITE 300

    GLENVIEW, IL 600265805

    Phone: (847) 729-9122

    Fax: (847) 729-9134

    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: 2007-07-28

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
I20070728000198IOtolaryngologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes323261$0
99214Established patient office or other outpatient visit, 30-39 minutes288244$0
99204New patient office or other outpatient visit, 45-59 minutes244244$0
69210Removal of impacted ear wax193175$0
31231Diagnostic exam of nasal passages using an endoscope130120$0
View full utilization report →

Insurance plans in this area (ZIP 60026)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Can I cross-check SUE J. KIM (MD) using NPI 1124014642?
NPI 1124014642 belongs to SUE J. KIM (MD); compare other details if you need extra assurance.
Is SUE J. KIM (MD) still an active registrant?
SUE J. KIM (MD) carries an active NPI according to the public dataset.
How would a patient describe SUE J. KIM (MD)'s focus?
For SUE J. KIM (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is SUE J. KIM (MD) associated with Glenview?
Public fields place SUE J. KIM (MD) around Glenview, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for SUE J. KIM (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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