Sihun Alex Kim, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036111311 Issued in IL

Practice address

2441 Lake Shore Dr
Woodstock, IL 60098-6911

Phone

(815) 338-4600

Fax

(815) 338-4611

NPI assigned

Oct 10, 2006

Last updated

Dec 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roman J. Dykun, MDGroup PAC ID 7416997036, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skim288475@direct.myadvocateaurora.org

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.

• Roman J. Dykun, MD

  dba Affiliated Ear, Nose and Throat Physicians

  • Otolaryngology Physician
  • Woodstock, IL
  • NPI 1407944325
  Medicare reassignment Care Compare group NPD
• Affiliated Ear, Nose and Throat Physicians

  • Otolaryngology Physician
  • Ingleside, IL
  • NPI 1619012010
  NPD (past)

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

• Northern Illinois Medical Center

  dba Centegra Hospital McHenry

  • General Acute Care Hospital
  • McHenry, IL
  • NPI 1982611281
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1700974607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SIHUN",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036111311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2441 Lake Shore Dr",
            "city": "Woodstock",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600986911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skim288475@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2441 Lake Shore Dr",
            "city": "Woodstock",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600986911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iftikhar Khan, MD
• Anil K Khemani, MD
• Pauline Kilty Young, P.T.
• Cara Dabin Kim, DMD
• Helen Y Kim, DMD
• Adam Erwin Kling, RPH
• Susan Ann Klouda
• Cheryl Ann Kolbusz, LCSW
• Jennifer Kolbusz
• Katlyn Koskotas, APRN

• Otolaryngology Physician in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.