Individual provider Active NPI

Sung Kim, M.D.

  • Anesthesiology Physician
  • Des Moines, IA
National Provider Identifier
1649653577
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-46755 Issued in IA
Practice address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone
(515) 241-6372
Fax
(515) 401-1955
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-46755 IA Primary

Addresses

Primary practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Mailing address

4201 Westown Pkwy Ste 236
West Des Moines, IA 50266-6720
Phone (515) 401-1950

Other practice location 1

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-2633

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2320

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
I20200429002643 IA Practitioner - Anesthesiology 7719293414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists PCGroup PAC ID 9638068307, 65 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 401-1950

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-46755IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, P.C. CurrentSince Oct 1, 2021 Accepting new patients
Waukee Surgery Center LLC CurrentSince Jul 1, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jan 3, 2024 Accepting new patients
North Iowa Mercy Clinics Anesthesiology CurrentSince Jan 3, 2024 Accepting new patients
State University of Iowa CurrentSince Aug 5, 2020 Accepting new patients
Associated Anesthesiologists, P.C. Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

3625 N Ankeny Blvd
Ste J
Ankeny, IA 50023
Phone (515) 965-2200

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

1025 SE Tallgrass Ln
Waukee, IA 50263
Phone (515) 875-8000

4201 Westown Pkwy
Ste 236
West Des Moines, IA 50266
Phone (515) 401-1950

1600 60th St
West Des Moines, IA 50266
Phone (515) 224-5232

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

1750 60th St
West Des Moines, IA 50266
Phone (515) 273-5240

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • Direct secure messaging: skim627717@direct.unitypoint.org

Organizations & group practices 7

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1649653577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 236",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1950",
            "fax_number": "515-401-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6372",
            "fax_number": "515-401-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-2633",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2320",
            "fax_number": "319-384-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-46755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.