Sanghoon Kim, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD062355L Issued in PA

Practice address

2802 Papermill Rd
Wyomissing, PA 19610-1065

Phone

(484) 628-2778

Fax

(484) 388-2688

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tower Health Medical Group

  dba Internal Medicine - Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Tower Health Medical Group

  dba Vascular Surgical Specialists - Tower Health Medical Group

  • Vascular Surgery Physician
  • West Reading, PA
  • NPI 1780986901
  NPD
• Tower Health Medical Group

  dba Breast Health Center Wyomissing Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Physical Medicine & Rehabilitation

  NPD (past)
• Medical Associates of the Main Line, PC

  • Hospitalist Physician
  • Malvern, PA
  • NPI 1033276076
  NPD (past)
• Integrated Medical Services PLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1770596306
  NPD (past)
• Planas and Associates,MD,PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1063443471
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1306931662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103335",
            "telephone_number": "610-372-8044",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PAPERMILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101065",
            "telephone_number": "484-628-2778",
            "fax_number": "484-388-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANGHOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD062355L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001657421",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Orthopaedic Specialists, LLC
• Keystone Orthopaedic Specialists,LLC
• Yasmeen Khaskia, M.D.
• James N Kim, M.D.
• Paul Young-Chan Kim, D.O.
• Christina Eve Jensen Kimball, MD
• Carol L Kinsey, CRNA
• Kaylee Kistler
• Amanda Deloatche Klayum
• Gretchen Marie Klepper, DPT

• Physical Medicine & Rehabilitation Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.