Individual provider Active NPI

Michael Sang-Hak Kim, MD

  • Interventional Cardiology Physician
  • Greeley, CO
National Provider Identifier
1386677144
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DR.0044091 Issued in CO
Practice address
1800 15TH St Ste 310
Greeley, CO 80631-4562
Phone
(970) 810-0900
NPI assigned
Jul 7, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD60080825 WA
Cardiovascular Disease Physician 207RC0000X DR.0044091 CO
Interventional Cardiology Physician 207RI0011X MD60080825 WA
Interventional Cardiology Physician 207RI0011X DR.0044091 CO Primary

Addresses

Primary practice location

1800 15TH St Ste 310
Greeley, CO 80631-4562

Mailing address

1800 15TH St Ste 310
Greeley, CO 80631-4562
Phone (970) 810-0900

Other practice location 1

2222 N Nevada Ave Ste 5010
Colorado Springs, CO 80907-6865
Phone (719) 776-6265

Other identifiers 3

IdentifierTypeStateIssuer
47759020MedicaidCO
0250742OtherWALABOR & INDUSTRIES
1386677144MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20060824000243 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 8426051855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 210
Colorado Springs, CO 80907-5798
Phone (719) 960-0363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.59 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44091COMDCardiovascular Disease Physician
MD60080825WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates PC Cardiovascular Disease Past Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

1008 Minnequa Ave
#A
Pueblo, CO 81004
Phone (719) 557-5210

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1386677144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 15TH ST STE 310",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314562",
            "telephone_number": "970-810-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 15TH ST STE 310",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314562",
            "telephone_number": "970-810-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave Ste 5010",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076865",
            "country_code": "US",
            "telephone_number": "719-776-6265",
            "fax_number": "719-776-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHAEL",
        "middle_name": "SANG-HAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60080825",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0044091",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD60080825",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0044091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47759020",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0250742",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386677144",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.