CHANG SOO KIM (MD) – Internal Medicine Physician, NPI 1699797449

CHANG SOO KIM (MD) is a healthcare provider. based in Eastpointe, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. CK031478 (MI). The NPI Number for CHANG SOO KIM (MD) is 1699797449

Main info

Male
Name
CHANG SOO KIM (MD)
NPI
1699797449
Phone
(586) 779-0000
Address
16420 EAST 9 MILE RD
Enumeration Date
24 July 2006
Last Update Date
8 July 2007
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

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Provider Addresses for CHANG SOO KIM (MD)

  • 16420, East 9 Mile Road, Eastpointe, Macomb County, Michigan, 48021, United States

    EASTPOINTE, MI 480212442

    Phone: (586) 779-0000

    Fax: (586) 779-9866

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48021)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CHANG SOO KIM (MD)?
CHANG SOO KIM (MD) — NPI 1699797449 — is the standard way to identify this listing.
Can I rely on CHANG SOO KIM (MD) being an active provider?
As of the registry snapshot, CHANG SOO KIM (MD) is marked active.
What is CHANG SOO KIM (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for CHANG SOO KIM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for CHANG SOO KIM (MD)?
CHANG SOO KIM (MD)'s geographic hint is Eastpointe, Michigan in our summary view.
Why does CHANG SOO KIM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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