DR. SUE YEUN KIM (MD) – Obstetrics & Gynecology Physician, NPI 1629061247

DR. SUE YEUN KIM (MD) is a healthcare provider. based in Andover, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 232566 (MA). The NPI Number for DR. SUE YEUN KIM (MD) is 1629061247

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUE YEUN KIM (MD)
NPI
1629061247
Phone
(978) 475-2731
Address
323 LOWELL ST STE 302
Enumeration Date
30 August 2005
Last Update Date
19 April 2026

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
9784752731
Graduation Year
2000 (26 years ago)
PAC ID
4284693813
Group Practice PAC ID
0345224648
Professional Enrollment ID
I20070920000662
Address ID
MA018104659AN323XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for DR. SUE YEUN KIM (MD)

  • 323 LOWELL ST STE 302

    ANDOVER, MA 018104659

    Phone: (978) 475-2731

    Fax: (978) 975-2536

    Type: Mailing

  • 140 HOVERHILL ST

    ANDOVER OB/GYN

    ANDOVER, MA 01810

    Phone: (978) 475-2731

    Fax: (978) 975-2536

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($54).

Total Amount

$99

General + Research + Ownership

Payments

4

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2007-09-20

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
I20070920000662IObstetrics/GynecologyMATBD

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 minutes6346$0
57160Fitting and insertion of vaginal support device4318$0
57150Irrigation of vagina and/or application of drug to treat infection3815$0
99214Established patient office or other outpatient visit, 30-39 minutes2918$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2929$0
View full utilization report →

Insurance plans in this area (ZIP 01810)

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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: 0345224648View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerMA
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerNH

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Frequently asked questions

Can I verify DR. SUE YEUN KIM (MD) with an NPI only?
You can start verification with NPI 1629061247 for DR. SUE YEUN KIM (MD), then check state licensing separately.
Can I rely on DR. SUE YEUN KIM (MD) being an active provider?
As of the registry snapshot, DR. SUE YEUN KIM (MD) is marked active.
What is DR. SUE YEUN KIM (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. SUE YEUN KIM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SUE YEUN KIM (MD)?
DR. SUE YEUN KIM (MD)'s geographic hint is Andover, Massachusetts in our summary view.
Why does DR. SUE YEUN KIM (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.