Individual provider Active NPI

Sunwook Kim, MD

  • Obstetrics & Gynecology Physician
  • St George, UT
National Provider Identifier
1255474359
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14269662-1235 Issued in UT
Practice address
1380 E Medical Center Dr Ste N1800
St George, UT 84790-2123
Phone
(435) 251-4100
Fax
(435) 251-4101
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14269662-1235 UT Primary
Obstetrics & Gynecology Physician 207V00000X ME77123 FL
Obstetrics & Gynecology Physician 207V00000X 24782 NV

Addresses

Primary practice location

1380 E Medical Center Dr Ste N1800
St George, UT 84790-2123

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1380 E Medical Center Dr Ste 1600
St George, UT 84790-2123
Phone (435) 251-4170

Other practice location 2

14810 Old Saint Augustine Rd
Jacksonville, FL 32258
Phone (904) 858-1574

Other practice location 3

2880 N Tenaya Way Fl 3
Las Vegas, NV 89128-0618
Phone (702) 255-3547

Other practice location 4

11876 Atlantic Blvd
Jacksonville, FL 32225-2918
Phone (904) 296-3200

Other identifiers 3

IdentifierTypeStateIssuer
592292041OtherTAX ID
24782OtherNVSTATE LICENSE
261872900MedicaidFL

Other names 1

  • Sunwook Kim-Ashchi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140724000586 FL Practitioner - Obstetrics/Gynecology 6507825403 Reassigns benefits to 1 organization
I20240725002402 NV Practitioner - Obstetrics/Gynecology 6507825403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 182
Las Vegas, NV 89118-1896
Phone (702) 304-5827

Hospital & facility affiliations

  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14269662-1235UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Obstetrics & Gynecology CurrentSince Jun 19, 2018 Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Sep 3, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jun 19, 2018 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Sep 3, 2024 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

14810 Old Saint Augustine Rd
Jacksonville, FL 32258
Phone (904) 512-1899

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

5320 S Rainbow Blvd
Ste 182
Las Vegas, NV 89118
Phone (702) 304-5722

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

2880 N Tenaya Way
Fl 3
Las Vegas, NV 89128
Phone (702) 427-9587

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1255474359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE N1800",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-4100",
            "fax_number": "435-251-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Medical Center Dr Ste 1600",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902123",
            "country_code": "US",
            "telephone_number": "435-251-4170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14810 Old Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32258",
            "country_code": "US",
            "telephone_number": "904-858-1574",
            "fax_number": "904-398-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 N Tenaya Way Fl 3",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280618",
            "country_code": "US",
            "telephone_number": "702-255-3547",
            "fax_number": "702-307-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11876 Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322252918",
            "country_code": "US",
            "telephone_number": "904-296-3200",
            "fax_number": "904-296-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNWOOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "14269662-1235",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME77123",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "24782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "592292041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24782",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261872900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUNWOOK",
            "last_name": "KIM-ASHCHI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.