SUSANNE S. KIM (M.D.) – Diagnostic Radiology Physician, NPI 1013298348

SUSANNE S. KIM (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in GENERAL SURGERY, NUCLEAR MEDICINE, DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. 242896 (NY). The NPI Number for SUSANNE S. KIM (M.D.) is 1013298348

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE S. KIM (M.D.)
NPI
1013298348
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
31 August 2011
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9525951100
Graduation Year
1995 (31 years ago)
PAC ID
1557522737
Group Practice PAC ID
9335244169
Professional Enrollment ID
I20120416000236
Address ID
NY100114419NE319XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,619 GENERAL SURGERY in NY

Provider Addresses for SUSANNE S. KIM (M.D.)

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 319 W 18TH ST APT 5D

    NEW YORK, NY 100114419

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120416000236IDiagnostic RadiologyNYTBD
I20180516001434IDiagnostic RadiologyTXTBD
I20240710001469IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view434417$0
70450Ct scan head or brain without contrast337331$0
74177Ct scan of abdomen and pelvis with contrast198195$0
74176Ct scan of abdomen and pelvis without contrast186186$0
71275Ct scan of blood vessels of chest with contrast160159$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

Loading plans...

Provider's Procedures

SUSANNE S. KIM (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNY71010X-ray of chest, 1 view, front273185
DIAGNOSTIC RADIOLOGYNY71250CT scan chest1919
DIAGNOSTIC RADIOLOGYNY73630X-ray of foot, minimum of 3 views1413

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: 9335244169View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic Radiology, Nuclear MedicineMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyNY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for SUSANNE S. KIM (M.D.)?
Save NPI 1013298348 if you need a stable reference for SUSANNE S. KIM (M.D.).
Is SUSANNE S. KIM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SUSANNE S. KIM (M.D.) work in?
You can think of SUSANNE S. KIM (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does SUSANNE S. KIM (M.D.) practice in Minnesota?
You will see Eden Prairie, Minnesota on file for SUSANNE S. KIM (M.D.) alongside any extra practice locations.
Is SUSANNE S. KIM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1013298348. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. DANIEL R FOX (MD)

Diagnostic Radiology Physician
11995 SINGLETREE LN STE 500
NPI: 1962405183

CATHLEEN ANN IVY (MD)

Diagnostic Radiology Physician
11995 SINGLETREE LN STE 500
NPI: 1851394944

MURRAY O HAMILTON (MD)

Diagnostic Radiology Physician
3600 MINNESOTA DR STE 800
NPI: 1790788628

DR. LAWRENCE RICHARD SANDERS (MD)

Diagnostic Radiology Physician
Singletree Ln, Prairie Center Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States of America
NPI: 1821091885

ASPAN SINGH OHSON

Diagnostic Radiology Physician
3600 MINNESOTA DR STE 800
NPI: 1689678559

DR. JOAN H SUTCLIFFE (M.D.)

Diagnostic Radiology Physician
7 FANCY HL
NPI: 1871597799

DR. EUGENE TONG (MD)

Diagnostic Radiology Physician
3600 MINNESOTA DR STE 800
NPI: 1912901430

DR. DAVID LEONARD HUNTER (M.D.)

Diagnostic Radiology Physician
Singletree Ln, Prairie Center Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States
NPI: 1164426565

DR. CHRISTOPHER EUGENE RICKMAN (MD)

Diagnostic Radiology Physician
3600 MINNESOTA DR STE 800
NPI: 1497759898