DR. SAMUEL A. KIM (M.D.) – Anesthesiology Physician, NPI 1902899404
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,823 ANESTHESIOLOGY in PA
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Provider Addresses for DR. SAMUEL A. KIM (M.D.)
225, West 25th Street, Little Italy, Erie, Erie County, Pennsylvania, 16502, United States
SUITE 408
ERIE, PA 165022703
Phone: (814) 454-8885
Fax: (814) 456-3856
Type: Mailing
Saint Vincent Hospital, 232, West 25th Street, Little Italy, Erie, Erie County, Pennsylvania, 16544, United States
ERIE, PA 165440002
Phone: (814) 452-5000
Fax: (814) 452-5348
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2024-05-12 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($115).
Total Amount
$219
General + Research + Ownership
Payments
6
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101109001362 | I | Anesthesiology | PA | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 46 | 45 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 22 | 22 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 21 | 20 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 20 | 20 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 18 | 18 | $0 |
Insurance plans in this area (ZIP 16502)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| A N E S T H E S I O L O G Y | MD | |
| - | VA | |
| - | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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