Individual provider Active NPI

Sang In Kim, M.D.

  • Dermatology Physician
  • Aurora, CO
National Provider Identifier
1881033223
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
CDRH.0072156 Issued in CO
Practice address
1444 S Potomac St Ste 240
Aurora, CO 80012-4509
Phone
(720) 213-4679
Fax
(443) 572-0579
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01074680A IN
Dermatology Physician 207N00000X CDRH.0072156 CO Primary

Addresses

Primary practice location

1444 S Potomac St Ste 240
Aurora, CO 80012-4509

Mailing address

1444 S Potomac St Ste 240
Aurora, CO 80012-4509
Phone (720) 213-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240722002045 CO Practitioner - Dermatology 0941667802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Skin Dermatology LLCGroup PAC ID 7315483781, 2 clinicians

Practice addresses (Care Compare)

1444 S Potomac St
Suite 240
Aurora, CO 80012-4509
Phone (720) 443-0579

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions98
Skin biopsy78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074680AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Skin Dermatology LLC Dermatology CurrentSince Apr 5, 2024 Accepting new patients

Locations

1444 S Potomac St
Ste 240
Aurora, CO 80012
Phone (720) 213-4679

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1881033223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124509",
            "telephone_number": "720-213-4679",
            "fax_number": "443-572-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124509",
            "telephone_number": "720-213-4679",
            "fax_number": "443-572-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANG",
        "middle_name": "IN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01074680A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "CDRH.0072156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.