SEUNG SOO KIM (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1639153182

Anatomic Pathology & Clinical Pathology Physician

SEUNG SOO KIM (MD) is a healthcare provider. based in Ft wayne, Indiana. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. 01040258A (IN). The NPI Number for SEUNG SOO KIM (MD) is 1639153182

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

SEUNG SOO KIM (MD)

NPI

1639153182

Phone

(800) 899-5757

Address

2200 Randallia Dr

Enumeration Date

29 November 2005

Last Update Date

21 August 2018

Doctor Profile

Medical School Name

COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS

Secondary Phone

2604242195

Graduation Year

1988 (38 years ago)

PAC ID

7517091176

Group Practice PAC ID

4789649526

Professional Enrollment ID

I20110111000156

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

Provider Addresses for SEUNG SOO KIM (MD)

2200 Randallia Dr
Ft Wayne, IN 468054638
Phone: (800) 899-5757
Type: Location
2458, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 468055406
Phone: (260) 424-2195
Fax: (260) 422-0077
Type: Mailing
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451701
Phone: (260) 266-1000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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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 46805)

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Provider's Procedures

SEUNG SOO KIM (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PATHOLOGY	IN	88312	Special stained specimen slides to identify organisms including interpretation and report	250	140
PATHOLOGY	IN	88342	Tissue or cell analysis by immunologic technique	40	35

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: 4789649526View full group profile

Name	Specialty	State
HASSAN AREKEMASE (MD)	P A T H O L O G Y	IN
KANWARANOOP SINGH KAINAUR (MD)	P A T H O L O G Y	FL
RALPH CRAIG MCBRIDE	P A T H O L O G Y	IN
DR. MARZENA WIACEK MULLER (M.D.)	P A T H O L O G Y	IN
MS. LING HUI (M.D. PH.D.)	P A T H O L O G Y	TX
QI WANG (M.D.)	P A T H O L O G Y	IN
YAN XIE (MD)	P A T H O L O G Y	MI
YI ZHUANG (M.D.)	P A T H O L O G Y	OH
XIAOYING WAN (M.D.)	P A T H O L O G Y	IN

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Frequently asked questions

What number should I use to identify SEUNG SOO KIM (MD) for billing?

Administrative and clinical systems typically use NPI 1639153182 for SEUNG SOO KIM (MD).

Quick check: is SEUNG SOO KIM (MD) active?

Public NPPES data shows SEUNG SOO KIM (MD) with an active NPI status right now.

What does the directory say SEUNG SOO KIM (MD) does?

Insurance directories may phrase it differently, but here SEUNG SOO KIM (MD) maps to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.

Is SEUNG SOO KIM (MD) tied to Ft Wayne, Indiana?

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