DR. SUE YEON KIM (M.D.) – Diagnostic Radiology Physician, NPI 1194932350

DR. SUE YEON KIM (M.D.) is a healthcare provider. based in East brunswick, New Jersey. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA08360900 (NJ). The NPI Number for DR. SUE YEON KIM (M.D.) is 1194932350

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUE YEON KIM (M.D.)
NPI
1194932350
Phone
(732) 390-0040
Address
579A CRANBURY RD
Enumeration Date
17 May 2007
Last Update Date
6 January 2011

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9736951290
Graduation Year
2002 (24 years ago)
PAC ID
9335210442
Group Practice PAC ID
2860633492
Professional Enrollment ID
I20080618000008
Address ID
NJ079272111CE197XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,259 DIAGNOSTIC RADIOLOGY in NJ

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Provider Addresses for DR. SUE YEON KIM (M.D.)

  • 579, Cranbury Road, Gillilandtown, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088165426

    Phone: (732) 390-0040

    Fax: (732) 390-1856

    Mailing address matches the actual address.

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: 2008-06-18

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
I20080618000008IDiagnostic RadiologyNJTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml2,57013$0
77063Screening 3d breast mammography774774$0
77067Screening mammography773773$0
76641Complete ultrasound scan of 1 breast293292$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)145144$0
View full utilization report →

Insurance plans in this area (ZIP 08816)

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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: 2860633492View full group profile
NameSpecialtyState
Diagnostic RadiologyNY
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Interventional RadiologyPA
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

Does DR. SUE YEON KIM (M.D.) have a public NPI I can cite?
Public records show DR. SUE YEON KIM (M.D.) under NPI 1194932350.
Is DR. SUE YEON KIM (M.D.)'s NPI status active today?
Active status means DR. SUE YEON KIM (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. SUE YEON KIM (M.D.) provide?
DR. SUE YEON KIM (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUE YEON KIM (M.D.) tied to East Brunswick, New Jersey?
If you are local to East Brunswick, New Jersey, DR. SUE YEON KIM (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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