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

Eugene M Kim

Individual provider Colon & Rectal Surgery Physician · NPI 1770570293

Eugene M Kim is a Colorectal Surgery (Proctology) in Phoenix, Arizona. Graduated from State University of New York Downstate Medical Center in 1997, 29 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
29
Trained at
State University of New York Downstate Medical Center
Licensed in
AZ
In the registry since
2005
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Practice location Address checks out

1441 N 12th St Fl 3
Phoenix, AZ 85006-2837
Phone: (602) 521-5100
Fax: (623) 707-4243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 33968 (AZ)

Record details

NPI number1770570293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1997 (29 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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