Individual provider Active NPI

Sunah C Kim Dorantes, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1689888083
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01068726A Issued in IN
Practice address
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone
(317) 579-2150
Fax
(317) 579-2130
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.127010 IL
Diagnostic Radiology Physician 2085R0202X 01068726A IN Primary

Addresses

Primary practice location

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150

Other names 1

  • Dr. Sunah C Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121204000504 IN Practitioner - Diagnostic Radiology 2769634427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians
Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians

Practice addresses (Care Compare)

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007

Merit-based Incentive Payment System (MIPS)

Final score
72.2 of 100Reported as group
Quality
71.68
Improvement activities
40
Cost
59.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127010ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Radiology Network P C Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jun 3, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

10603 N Meridian St
Carmel, IN 46290
Phone (317) 415-6050

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1689888083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM DORANTES",
        "first_name": "SUNAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.127010",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01068726A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNAH",
            "last_name": "KIM",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.