Active NPI
Su Bin Kim, MD
- Gastroenterology Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME135420
- Practice address
- 1951 SW 172ND Ave Ste 312
Miramar, FL 33029-5614 - Phone
- (954) 620-5288
- Fax
- (954) 620-5388
- NPI assigned
- Oct 17, 2012
- Last updated
- Jul 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Gastroenterology Physician | 207RG0100X | ME135420 | FL | Primary |
Addresses
Primary practice location
1951 SW 172ND Ave Ste 312
Miramar, FL 33029-5614
Mailing address
1870 N Corporate Lakes Blvd Unit 266114
Weston, FL 33326-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1951 SW 172ND Ave
Suite 312
Miramar, FL 33029-5614
Phone (954) 620-5228
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135420 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology & Motility Center LLC | Gastroenterology | Current | Accepting new patients |
| Gastro Health, LLC | Gastroenterology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Gastro Health LLC | Gastroenterology | Current | Accepting new patients |
| Gastro Health, LLC | Gastroenterology | Current | Accepting new patients |
Locations
3001 Coral Hills Dr
Ste 250
Coral Springs, FL 33065
Phone (954) 721-5400
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
1601 N Palm Ave
Ste 311
Pembroke Pines, FL 33026
Phone (754) 200-1617
1870 N Corporate Lakes Blvd
Unit 266114
Weston, FL 33326
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFEGDD/Endpoint/CFEGDD
- skim1262737@direct.ccf.org
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1679826416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 N CORPORATE LAKES BLVD UNIT 266114",
"city": "WESTON",
"state": "FL",
"postal_code": "333268800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE STE 312",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295614",
"telephone_number": "954-620-5288",
"fax_number": "954-620-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SU BIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME135420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.