NPIMap

Organization Active NPI

Sunny S. Kim, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Burnsville, MN
National Provider Identifier
1659301992
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
31927 Issued in MN
Legal business name
SUNNY S. KIM, MD PA
Practice address
1601 Highway 13 E Ste 100
Burnsville, MN 55337-6847
Phone
(320) 763-8888
Fax
(952) 405-9760
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Mike Hanson
Title
Vice President
Phone
(612) 283-8718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 54789 MN
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 31927 MN Primary

Addresses

Primary practice location

1601 Highway 13 E Ste 100
Burnsville, MN 55337-6847

Mailing address

1601 Highway 13 E Ste 100
Burnsville, MN 55337-6847
Phone (952) 405-9760

Other practice location 1

6600 State Highway 29 South
Alexandria, MN 56308
Phone (320) 763-8888

Other practice location 2

20635 Kuykendahl Rd
Spring, TX 77379-3533
Phone (281) 317-1118

Other identifiers 5

IdentifierTypeStateIssuer
20011924OtherMNRAILROAD MEDICARE
250003199OtherMNRAILROAD MEDICARE
963393600MedicaidMN
178083200MedicaidMN
6727410001OtherMNNSC

Other names 2

  • Inspired Spine Health Doing business as
  • Tristate Brain and Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060822000124 MN Part B Supplier - Clinic/Group Practice 5799788386 Receives reassigned benefits from 7 practitioners
Practice locations: Alexandria, MN; Burnsville, MN
O20130329000062 MN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5799788386 Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Locations

2745 Rebecca Ln
Orange City, FL 32763
Phone (386) 775-2012

1601 Highway 13 E
Burnsville, MN 55337
Phone (612) 242-0517

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1659301992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376847",
            "telephone_number": "952-405-9760",
            "fax_number": "855-430-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376847",
            "telephone_number": "320-763-8888",
            "fax_number": "952-405-9760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 State Highway 29 South",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "56308",
            "country_code": "US",
            "telephone_number": "320-763-8888",
            "fax_number": "320-200-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20635 Kuykendahl Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793533",
            "country_code": "US",
            "telephone_number": "281-317-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNNY S. KIM, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "612-283-8718"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "54789",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "31927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "20011924",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250003199",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963393600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178083200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "6727410001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspired Spine Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tristate Brain and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.