MS. MINA SOON KIM (MD) – Anesthesiology Physician, NPI 1780975417
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
136 ANESTHESIOLOGY in DE
Provider Addresses for MS. MINA SOON KIM (MD)
9411 N OAK TRFY STE LL1
KANSAS CITY, MO 641552262
Phone: (816) 691-1655
Fax: (816) 436-2743
Type: Mailing
2 READS WAY
SUITE 201
NEW CASTLE, DE 197201630
Phone: (302) 709-4510
Fax: (302) 356-9304
Type: Mailing
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
Phone: (302) 733-1000
Fax: (215) 955-0677
Type: Location
2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO 641163254
Phone: (816) 691-2021
Fax: (816) 346-7690
Type: Location
4755 Ogletown-Stanton Road
Newark, DE 19718
Phone: (302) 733-1000
Fax: (215) 955-0677
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($90).
Total Amount
$90
General + Research + Ownership
Payments
1
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $90 |
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: 2023-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150804003367 | I | Anesthesiology | DE | TBD |
| I20230719000661 | I | Anesthesiology | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64448 | Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter | 17 | 17 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 13 | 13 | $0 |
Insurance plans in this area (ZIP 64155)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| - | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | DE | |
| General Surgery | MO | |
| N E U R O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO |
Reviews
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