NPIMap

Individual provider Active NPI

Sunny S Kim, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Burnsville, MN
National Provider Identifier
1114989555
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
31927 Issued in MN
Practice address
1601 Highway 13 E Ste 211
Burnsville, MN 55337-5105
Phone
(320) 763-8888
Fax
(952) 405-9760
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 12

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 16

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverview Healthcare Association 46 clinicians
Sunny S Kim MD PA 4 clinicians

Practice addresses (Care Compare)

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

6600 State Hwy 29 S
Alexandria, MN 56308-6196
Phone (952) 405-9760

Hospital & facility affiliations

  • Riverview Hospital Hospital, Crookston, MN, CCN 241320
  • First Care Health Center Hospital, Park River, ND, CCN 351326
  • Alomere Health Hospital, Alexandria, MN, CCN 240030
  • St Josephs Area Health Services Hospital, Park Rapids, MN, CCN 241380
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion148
Laminectomy or laminotomy (partial removal of spine bones)16

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110113000443 MN Practitioner - Orthopedic Surgery 3971506577 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31927MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Healthcare Association CurrentSince Dec 1, 2016 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Sunny S. Kim, MD PA Orthopaedic Surgery of the Spine CurrentSince Oct 1, 1999 Accepting new patients
Sunny S. Kim, MD PA Orthopaedic Surgery of the Spine CurrentSince Oct 1, 1999 Accepting new patients
Riverview Healthcare Association CurrentSince Dec 1, 2016 Accepting new patients
Inspired Spine Surgcenter LLC Orthopaedic Surgery of the Spine CurrentSince Jun 7, 2025 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

6600 State Highway 29 S
Alexandria, MN 56308
Phone (320) 763-8888

1600 Broadway St
Alexandria, MN 56308
Phone (320) 762-6479

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1601 Highway 13 E
Ste 211
Burnsville, MN 55337
Phone (952) 405-9760

1515 Highway 13 E
Burnsville, MN 55337

1601 Highway 13 E
Ste 100
Burnsville, MN 55337
Phone (320) 763-8888

1601 Highway 13 E
Ste 110
Burnsville, MN 55337
Phone (952) 322-8532

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22487/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sunny.kim.1@15270.direct.athenahealth.com
  • Direct secure messaging: skim28194@direct.centracare.com
  • FHIR API: https://api.platform.athenahealth.com/15270/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 31927 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1601 Highway 13 E Ste 211
Burnsville, MN 55337-5105

Mailing address

6600 State Highway 29 S
Alexandria, MN 56308-6196
Phone (320) 763-8888

Other practice location 1

6600 State Highway 29 S
Alexandria, MN 56308-6196
Phone (320) 763-8888

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
31927OtherMNSTATE LICENSE #
1748051MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2021.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1114989555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 STATE HIGHWAY 29 S",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563086196",
            "telephone_number": "320-763-8888",
            "fax_number": "320-763-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 211",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375105",
            "telephone_number": "320-763-8888",
            "fax_number": "952-405-9760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 State Highway 29 S",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563086196",
            "country_code": "US",
            "telephone_number": "320-763-8888",
            "fax_number": "320-200-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNNY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "31927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "31927",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748051",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.