NPIMap

Individual provider Active NPI

Sung Deuk Kim, MD

  • Hospitalist Physician
  • Altus, OK
National Provider Identifier
1003434101
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
41286 Issued in OK
Practice address
1200 E Pecan St
Altus, OK 73521-6192
Phone
(580) 379-5000
Fax
(580) 379-5999
NPI assigned
Jul 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 41286 OK Primary
Internal Medicine Physician 207R00000X 41286 OK

Addresses

Primary practice location

1200 E Pecan St
Altus, OK 73521-6192

Mailing address

1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5000

Other practice location 1

205 S Park Ln
Altus, OK 73521-5755
Phone (580) 379-6745

Other identifiers 1

IdentifierTypeStateIssuer
201183700AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address SungDeukKim@direct.jcmh.com
Direct Messaging Address him@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002293 OK Practitioner - HospitalistPractitioner - Internal Medicine 0446614531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson County Memorial Hospital AuthorityGroup PAC ID 1759293178, 46 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

400 E Chestnut St
Hollis, OK 73550-2030
Phone (580) 688-3363

900 17TH St
Woodward, OK 73801-2448
Phone (580) 256-5511

Hospital & facility affiliations

  • Angels Care Home Health of Oklahoma Home health agency, Oklahoma City, OK, CCN 377447
  • Health Watch Health Care of Altus, LLC Home health agency, Altus, OK, CCN 377751
  • Triad Home Health LLC Home health agency, Mangum, OK, CCN 377747
  • Jackson County Memorial Hospital Authority Home health agency, Altus, OK, CCN 377137
  • Jackson County Memorial Hospital Authority Hospice, Altus, OK, CCN 371540
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
  • Harmon Memorial Hospital Hospital, Hollis, OK, CCN 371338
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Jackson County Memorial Hospital Authority Nursing home, CCN 37U022

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.31 of 100Reported as group
Improvement activities
40
Cost
75.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41286OKMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince Aug 29, 2023 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Aug 29, 2023 Accepting new patients
Hmrok LLC Internal Medicine CurrentSince Sep 15, 2023 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Dec 23, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

205 S Park Ln
Ste 140
Altus, OK 73521

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

205 S Park Ln
Altus, OK 73521
Phone (580) 379-6650

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

400 E Chestnut St
Hollis, OK 73550
Phone (580) 471-0971

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: him@direct.jcmh.com
  • Direct secure messaging: sungdeukkim@direct.jcmh.com
  • Direct secure messaging: skim005@yourcarecommunity.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1003434101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216141",
            "telephone_number": "580-379-5000",
            "fax_number": "580-379-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216192",
            "telephone_number": "580-379-5000",
            "fax_number": "580-379-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Park Ln",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735215755",
            "country_code": "US",
            "telephone_number": "580-379-6745",
            "fax_number": "580-379-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG DEUK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "41286",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "41286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201183700A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SungDeukKim@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "205 S Park Ln",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735215755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "1200 E Pecan St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735216192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.