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

Samuel Chan Kim, MD

Individual provider Urology Physician · NPI 1134129679

Samuel Chan Kim, MD is an Urology in Lafayette, Indiana. Graduated from Northwestern University Feinberg Medical School in 1996, 30 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
30
Trained at
Northwestern University Feinberg Medical School
Licensed in
IN
In the registry since
2005
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

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5177 McCarty Ln, Lafayette, IN 47905-8764 — (765) 448-8000
  • 2525 W University Ave, Muncie, IN 47303-3421 — (765) 289-7444
  • 2401 W University Ave, Muncie, IN 47303-3428 — (765) 741-1515

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01058979A (IN)

Record details

NPI number1134129679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2005
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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