Individual provider Active NPI

Sungeun Kim, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
National Provider Identifier
1649699497
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
291227 Issued in NY
Practice address
565 Abbott Rd
Buffalo, NY 14220-2039
Phone
(716) 250-9235
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 291227 NY Primary

Addresses

Primary practice location

565 Abbott Rd
Buffalo, NY 14220-2039

Mailing address

20 Northpointe Pkwy Ste 100
Amherst, NY 14228-6802
Phone (716) 250-9235

Other practice location 1

47 New Scotland Ave
Department of Pathology
Albany, NY 12208-3412
Phone (518) 262-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190603001721 NY Practitioner - Pathology 6406189604 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians
Gouverneur HospitalGroup PAC ID 9931336724, 31 clinicians

Practice addresses (Care Compare)

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1305

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

77 W Barnes St
Gouverneur, NY 13642-1132
Phone (315) 287-1000

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291227NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Jun 6, 2022 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 24, 2022 Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 1, 2021 Accepting new patients
Rochester General Hospital Current Accepting new patients
Massena Hospital, Inc CurrentSince May 28, 2023 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Jun 6, 2022 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 24, 2022 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 1, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince May 1, 2021 Accepting new patients
Massena Hospital Inc CurrentSince May 28, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince May 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Jun 6, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Dec 29, 2022 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jun 6, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Dec 29, 2022 Accepting new patients
United Memorial Medical Center CurrentSince Jun 6, 2022 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jun 6, 2022 Accepting new patients
Eastern Great Lakes Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
X-Cell Laboratories of Western New York Inc PastSince Feb 14, 2021 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

20 Northpointe Pkwy
Ste 130
Buffalo, NY 14228

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1649699497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORTHPOINTE PKWY STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142286802",
            "telephone_number": "716-250-9235",
            "fax_number": "716-250-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-250-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNGEUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "291227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.