Individual provider Active NPI

Sunny R Kim, MD

  • Physical Medicine & Rehabilitation Physician
  • Cedar Rapids, IA
National Provider Identifier
1639146558
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35982 Issued in IA
Practice address
6005 Rockwell Dr NE Ste B
Cedar Rapids, IA 52402
Phone
(319) 393-1320
Fax
(319) 393-1350
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35982 IA Primary

Addresses

Primary practice location

6005 Rockwell Dr NE Ste B
Cedar Rapids, IA 52402

Mailing address

6005 Rockwell Dr NE Ste B
Cedar Rapids, IA 52402-7228
Phone (319) 393-1320

Other identifiers 1

IdentifierTypeStateIssuer
1468462MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20050729000927 IA Practitioner - Physical Medicine and Rehabilitation 7012945108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

6005 Rockwell Dr NE
Suite B
Cedar Rapids, IA 52402-7228
Phone (319) 393-1320

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
83.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35982IAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Rehabilitation Medicine, PC Physical Medicine & Rehabilitation CurrentSince Aug 7, 2005 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

6005 Rockwell Dr NE
Cedar Rapids, IA 52402
Phone (319) 423-0925

6005 Rockwell Dr NE
Ste B
Cedar Rapids, IA 52402
Phone (309) 369-7331

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1639146558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 ROCKWELL DR NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027228",
            "telephone_number": "319-393-1320",
            "fax_number": "319-393-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 ROCKWELL DR NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-393-1320",
            "fax_number": "319-393-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNNY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "35982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468462",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.