Active NPI
Samuel A. Kim, M.D.
- Anesthesiology Physician
- Erie, PA
National Provider Identifier
1902899404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD063595L
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5000
- Fax
- (814) 452-5348
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD063595L | PA | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
225 W 25TH St
Suite 408
Erie, PA 16502-2703
Phone (814) 454-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017111880003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD063595L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | Accepting new patients |
Locations
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
201 State St
Erie, PA 16550
Phone (814) 877-2137
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
Interoperability endpoints
- skim535474@upmc.direct-ci.com
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1902899404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W 25TH ST",
"address_2": "SUITE 408",
"city": "ERIE",
"state": "PA",
"postal_code": "165022703",
"telephone_number": "814-454-8885",
"fax_number": "814-456-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5000",
"fax_number": "814-452-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SAMUEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD063595L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017111880003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.