Individual provider Active NPI

Su Bin Kim, MD

  • Gastroenterology Physician
  • Miramar, FL
National Provider Identifier
1679826416
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME135420 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124001680 FL Practitioner - Gastroenterology 6709123003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135420FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Motility Center LLC Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Feb 14, 2022 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 CurrentSince Feb 14, 2022 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFEGDD/Endpoint/CFEGDD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.