Active NPI
Sunny Y Kim, M.D.
- General Practice Physician
- Washington, DC
National Provider Identifier
1093814782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01053464A
- Practice address
- 6900 Georgia Ave NW
NW
Washington, DC 20307-0003 - Phone
- (202) 782-6885
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01053464A | IN | Primary |
Addresses
Primary practice location
6900 Georgia Ave NW
NW
Washington, DC 20307-0003
Mailing address
4801 Fairmont Ave
No. 510
Bethesda, MD 20814-6046
Phone (301) 961-9260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053464A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093814782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 FAIRMONT AVE",
"address_2": "NO. 510",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208146046",
"telephone_number": "301-961-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 GEORGIA AVE NW",
"address_2": "NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070003",
"telephone_number": "202-782-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNNY",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01053464A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.