Active NPI
Paul S Kim, M.D.
- Hematology & Oncology Physician
- Fletcher, NC
National Provider Identifier
1114923299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 20000490
- Practice address
- 3159 Hendersonville Road
Fletcher, NC 28732 - Phone
- (828) 687-9993
- Fax
- (828) 687-2491
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 20000490 | NC | Primary |
Addresses
Primary practice location
3159 Hendersonville Road
Fletcher, NC 28732
Mailing address
PO Box 38
Fletcher, NC 28732-0038
Phone (828) 687-9993
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1259C | Other | NC | BLUE CROSS BLUE SHIELD |
| 56142 | Other | NC | COMMERCIAL INSURANCE |
| 2280204B | Other | NC | MEDICARE |
| 891259C | Medicaid | NC |
Other names 1
- Dr. Sung U Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Ohio State University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3159 Hendersonville Rd
Fletcher, NC 28732-8235
Phone (828) 687-9993
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20000490 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Hematology and Oncology | Hematology & Oncology | Current | Accepting new patients |
Locations
3159 Hendersonville Rd
Fletcher, NC 28732
Phone (828) 687-9993
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Fletcher, NC
- NPI 1598926743
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1114923299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287320038",
"telephone_number": "828-687-9993",
"fax_number": "828-687-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3159 HENDERSONVILLE ROAD",
"city": "FLETCHER",
"state": "NC",
"postal_code": "28732",
"telephone_number": "828-687-9993",
"fax_number": "828-687-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "PAUL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "20000490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1259C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "56142",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2280204B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891259C",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUNG",
"last_name": "KIM",
"middle_name": "U",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fletcher, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.