Active NPI
Sung-Lana Kim, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 036-091407
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-091407 | Other | IL | STATE LICENSE |
| 200029585 | Other | IL | RAILROAD MEDICARE PROVIDER NUMBER |
| 036091407 | Other | IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Chicago, Pritzker School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-091407 | IL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Consultants SC | Current | Accepting new patients | |
| Schwab Faculty Associates Inc | Current | 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
- skim@orthoexperts.emadirect.md
- skim@midwestortho.exscribedirect.com
- 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.
-
dba Midwest Orthopaedic Consultants SC
- Orthopaedic Surgery Physician
- Orland Park, IL
- NPI 1457373953
IN
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1902859861
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.