Individual provider Active NPI

Sung-Lana Kim, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orland Park, IL
National Provider Identifier
1407809635
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
036-091407 Issued in IL
Practice address
10719 West 160TH Street
Orland Park, IL 60467
Phone
(708) 226-3300
Fax
(708) 226-4202
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 036-091407 IL Primary

Addresses

Primary practice location

10719 West 160TH Street
Orland Park, IL 60467

Mailing address

75 Remittance Drive
Suite 6581
Chicago, IL 60675-6581
Phone (708) 226-3300

Other identifiers 3

IdentifierTypeStateIssuer
036-091407OtherILSTATE LICENSE
200029585OtherILRAILROAD MEDICARE PROVIDER NUMBER
036091407OtherILBLUE CROSS BLUE SHIELD PROVIDER NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skim283791@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20040510000568 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2769471390 Reassigns benefits to 2 organizations
I20240919002263 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2769471390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Chicago, Pritzker School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Consultants SCGroup PAC ID 8022911031, 27 clinicians

Practice addresses (Care Compare)

4220 W 95TH St
Suite 100
Oak Lawn, IL 60453-3072
Phone (708) 226-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091407ILMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Consultants SC CurrentSince Sep 1, 1997 Accepting new patients
Schwab Faculty Associates Inc CurrentSince Mar 25, 2017 Accepting new patients

Locations

28687 Network Pl
Chicago, IL 60673

1401 S California Ave
Chicago, IL 60608
Phone (773) 522-5853

75 Remittance Dr
Dept 6581
Chicago, IL 60675

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

Interoperability endpoints

  • Direct secure messaging: skim@orthoexperts.emadirect.md
  • Direct secure messaging: skim@midwestortho.exscribedirect.com
  • Direct secure messaging: skim283791@direct.myadvocateaurora.org

Organizations & group practices 2

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 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1407809635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DRIVE",
            "address_2": "SUITE 6581",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756581",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 WEST 160TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG-LANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036-091407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-091407",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "200029585",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "036091407",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skim283791@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10719 West 160th Street",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10719 West 160th Street",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.