Individual provider Active NPI

Soohyun Kim, M.D.

  • Vascular Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1073775748
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
28038 Issued in NV
Practice address
8530 W Sunset Rd Ste 345
Las Vegas, NV 89113-2247
Phone
(702) 670-0912
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 28038 NV Primary

Addresses

Primary practice location

8530 W Sunset Rd Ste 345
Las Vegas, NV 89113-2247

Mailing address

8530 W Sunset Rd Ste 345
Las Vegas, NV 89113-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, AZ3 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
I20081110000680 CA Practitioner - Vascular Surgery 3173682846 Reassigns benefits to 1 organization
I20150102000597 CO Practitioner - Vascular Surgery 3173682846 Reassigns benefits to 1 organization
I20220302002736 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 3173682846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9515 W Camelback Rd
Suite 108
Phoenix, AZ 85037-1365
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Az LLC CurrentSince Feb 3, 2022 Accepting new patients
S Kim MD PLLC Vascular Surgery Current Accepting new patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Oct 27, 2014 Accepting new patients
Center for Vein Restoration Az LLC CurrentSince Feb 3, 2022 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

3509 S Mercy Rd
Ste 101
Gilbert, AZ 85297

9515 W Camelback Rd
Ste 108
Phoenix, AZ 85037
Phone (602) 428-0068

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

4500 E 9th Ave
Ste 615
Denver, CO 80220
Phone (303) 280-2229

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

8530 W Sunset Rd
Ste 345
Las Vegas, NV 89113
Phone (702) 362-2622

Interoperability endpoints

  • Direct secure messaging: soohyun.kimmd.p3@direct.cvr.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1073775748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132247",
            "telephone_number": "702-670-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOHYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "28038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.