Individual provider Active NPI

Suk Chul Kim, M.D.

  • Infectious Disease Physician
  • Crown Point, IN
National Provider Identifier
1508005380
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01071696A Issued in IN
Practice address
12750 Saint Francis Dr Ste 410
Crown Point, IN 46307-0264
Phone
(219) 769-8340
Fax
(219) 769-8341
NPI assigned
Feb 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01071696A IN
Infectious Disease Physician 207RI0200X 01071696A IN Primary

Addresses

Primary practice location

12750 Saint Francis Dr Ste 410
Crown Point, IN 46307-0264

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1101 Glendale Road
Ste. 110
Valparaiso, IN 46383
Phone (219) 477-6828

Other identifiers 1

IdentifierTypeStateIssuer
1508005380OtherINNPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skim100360@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130208000422 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 2365698826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

7905 Calumet Ave
Munster, IN 46321-2549
Phone (317) 865-8877

Hospital & facility affiliations

  • Franciscan Home Care Home health agency, Hobart, IN, CCN 157145
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Feb 23, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Sep 1, 2014 Accepting new patients
Franciscan Physician Network CurrentSince Sep 1, 2014 Accepting new patients
Franciscan Medical Specialists Internal Medicine Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1205 S Main St
Ste 201
Crown Point, IN 46307
Phone (219) 738-2279

12750 Saint Francis Dr
Ste 410
Crown Point, IN 46307
Phone (219) 769-8340

300 W 80th Pl
Ste B
Merrillville, IN 46410
Phone (219) 232-6522

759 45th St
Munster, IN 46321
Phone (219) 836-0296

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

761 45th St
Ste 108
Munster, IN 46321
Phone (219) 922-5416

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1101 Glendale Blvd
Ste 110
Valparaiso, IN 46383
Phone (219) 464-9596

Interoperability endpoints

  • Direct secure messaging: skim100360@direct.franciscanalliance.org

Organizations & group practices 4

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 8

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1508005380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SAINT FRANCIS DR STE 410",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070264",
            "telephone_number": "219-769-8340",
            "fax_number": "219-769-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Glendale Road",
            "address_2": "Ste. 110",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "46383",
            "country_code": "US",
            "telephone_number": "219-477-6828",
            "fax_number": "219-477-6832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUK CHUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01071696A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01071696A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1508005380",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skim100360@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 W 80th Pl Ste B",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464105476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.