Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Soo Kim, MD

Individual provider Anesthesiology Physician · NPI 1316100480

Dr. Soo Kim, MD is an Anesthesiology in Milwaukee, Wisconsin. Graduated from Tufts University School of Medicine in 2008, 18 years ago. Practices with Boulder Valley Anesthesiology, PLLC, a 60-clinician group and accepts Medicare assignment. Licensed in North Carolina and Wisconsin.

Years since qualifying
18
Trained at
Tufts University School of Medicine
Licensed in
NC, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave Dept OF Anesthesiology
Milwaukee, WI 53226-3522
Phone: (414) 805-8700
Fax: (414) 259-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 62215 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2012-01074 (NC)

Record details

NPI number1316100480
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESSeptember 23, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Boulder Valley Anesthesiology, Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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