Sang Hyub Kim, DPM, MPH

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006955 Issued in PA

Practice address

5800 Ridge Ave
Philadelphia, PA 19128

Phone

(215) 483-9900

NPI assigned

Jul 10, 2018

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Sang Hyub Kim Professional name

Medicare fee-for-service enrollment

Enrolled in NY, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Rehabilitation Systems LLCGroup PAC ID 4486547163, 71 clinicians

Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Physicians of Garrett County, LLC

  • Obstetrics & Gynecology Physician
  • Oakland, MD
  • NPI 1265819866
  Medicare reassignment Care Compare group NPD
• Larchmont Podiatry PLLC

  dba Certified Foot Care

  • Podiatric Clinic/Center
  • Larchmont, NY
  • NPI 1891241725

  Podiatrist

  Medicare reassignment NPD
• Medical Rehabilitation Systems, LLC

  • Physical Therapist
  • Grantsville, MD
  • NPI 1861500233
  Care Compare group
• South Westchester Vein & Vascular PLLC

  dba Swift Vein and Vascular

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
  • NPI 1548940273
  NPD
• Specialty Physicians of Garrett County, LLC

  dba Health and Wellness Services of Garrett Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, MD
  • NPI 1871065813
  NPD
• Specialty Physicians of Garrett County, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grantsville, MD
  • NPI 1881361442
  NPD

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

• GRMC, Inc.

  • General Acute Care Hospital
  • Oakland, MD
  • NPI 1598417412
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1649766809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 DEKALB PIKE APT 506",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011831",
            "telephone_number": "646-462-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-483-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANG HYUB",
        "credential": "DPM, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006955",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006955",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANG HYUB",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "DPM, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ran Ah Kim
• Rebecca Kim
• Roger Kim, M.D.
• Sam Eunwoo Kim, PT, DPT
• Samuel Kim, OD
• Sarah Kim, MD
• Sarah Dayoung Kim, MD
• Sarah H. Kim, MD
• Sean Sangmin Kim
• Seonwoo Kim

• Foot & Ankle Surgery Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.

Verify at the official NPI Registry.