Individual provider Active NPI

Susanne S. Kim, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1013298348
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME135876 Issued in FL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 242896 NY
Diagnostic Radiology Physician 2085R0202X ME135876 FL Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120416000236 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - General SurgeryPractitioner - Interventional Radiology 1557522737 Reassigns benefits to 13 organizations
I20180516001434 TX Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1557522737 Reassigns benefits to 1 organization
I20240710001469 IL Practitioner - Diagnostic Radiology 1557522737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: General Surgery, Nuclear Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Steuben Radiology Associates IncGroup PAC ID 2961416946, 57 clinicians

Practice addresses (Care Compare)

New York, NY 10011
Phone (856) 229-0696

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

319 W 18TH St
Apt 5D
New York, NY 10011-4419
Phone (315) 234-7608

Hospital & facility affiliations

  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135876FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jan 26, 2026 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Mar 30, 2026 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince May 7, 2018 Accepting new patients
Harlem Medical Associates PC CurrentSince Aug 24, 2012 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince May 7, 2018 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Oct 1, 2018 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 14, 2019 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 11, 2012 Accepting new patients
Crawford Hospital District Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jan 26, 2026 Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Locations (25 of 36)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: ssk9037@direct.weillcornell.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1013298348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSANNE",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "242896",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME135876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.