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

Samuel Kim

Individual provider Neurological Surgery Physician · NPI 1215917091

Samuel Kim is a Neurosurgery in Phoenix, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 1997, 29 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
29
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ, NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone: (424) 443-4749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 779-3366
  • 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 — (480) 428-3376
  • 170 William St, New York, NY 10038-2612 — (212) 312-5000

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 60680 (AZ)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 246540 (NY)

Record details

NPI number1215917091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESJuly 5, 2024
Certification dateOctober 6, 2023
Mailing address2415 E Camelback Rd Ste 700, Phoenix, AZ 85016-4245

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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