Active NPI
Steve Ho-Suk Kim, M.D. FACS
- Surgical Oncology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 4301097602
- Practice address
- 4100 John R St
Detroit, MI 48201-2013 - Phone
- (800) 527-6266
- Fax
- (313) 576-8699
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 4301097602 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Detroit, MI 48201-2013
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (800) 527-6266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301097602 | Other | MI | MICHIGAN DEPARTMENT OF COMMUNITY HEALTH |
| 7653409 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Surgical Oncology
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31995 Northwestern Hwy
Farmington Hills, MI 48334-1625
Phone (800) 527-6266
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
- Karmanos Cancer Center
- Harper University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301097602 | MI | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients | |
| Barbara Ann Karmanos Cancer Hospital | Past | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1740275387
-
- Social Worker
- Livonia, MI
- NPI 1154360402
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356441646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "STEVE",
"middle_name": "HO-SUK",
"name_prefix": "Dr.",
"credential": "M.D. FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MI",
"license": "4301097602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF COMMUNITY HEALTH",
"identifier": "4301097602",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7653409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.