Suk Chul Kim, AG-ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024185025 Issued in VA

Practice address

1215 Lee St
Charlottesville, VA 22908-1165

Phone

(434) 924-2409

Fax

(434) 982-4429

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, MD3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.78 of 100Reported as group

Quality

78.26

Improvement activities

40

Cost

61.58

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suk.chul.kim.1@10710.direct.athenahealth.com

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.

• Washington Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Takoma Park, MD
  • NPI 1205835485

  DC

  Medicare reassignment Care Compare group NPD
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment NPD
• WVS Frederick ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
  • NPI 1386391332
  Medicare reassignment NPD
• WVS Takoma Park LLC

  • Ambulatory Surgical Clinic/Center
  • Takoma Park, MD
  • NPI 1326746389

  DC

  Medicare reassignment NPD
• Washington Vascular Specialists of Baltimore

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1346905437
  Medicare reassignment
• Washington Cardiovascular Institute LLC

  • Podiatric Clinic/Center
  • Takoma Park, MD
  • NPI 1205605342
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1245968973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229081165",
            "telephone_number": "434-924-2409",
            "fax_number": "434-982-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUK CHUL",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R213897",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024185025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heeho Kim, M.D.
• Jae Ha Kim, DDS
• John S Kim, M.D.
• Paul Kim, DO
• Seungyeon Kim
• Susan Jin Kim, MD
• Woo J Kim, MD
• Wooil Kim, MD
• Yuri Jeenhee Kim, MD
• Katherine C. Kimbrell, M.D.

• Acute Care Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.

Verify at the official NPI Registry.