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

Scott Sang Won Kim, MD

Individual provider Pain Medicine Physician · NPI 1164650461

Scott Sang Won Kim, MD is a Pain Management in Greenwood, Indiana. Graduated from University of Maryland School of Medicine in 2015, 11 years ago. Practices with Shadeland Anesthesia and Pain Associates Inc, a 39-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Indiana, Maryland and Virginia.

Years since qualifying
11
Trained at
University of Maryland School of Medicine
Licensed in
DC, IN, MD, VA
In the registry since
2009
Specialties on file
5
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

533 E County Line Rd Ste 201
Greenwood, IN 46143-1073
Phone: (317) 706-7246
Fax: (317) 706-3419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 01077832A (IN)
Pain Medicine Physician Taxonomy 208VP0000X · Licence D0077042 (MD)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence MD043623 (DC)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 0101255306 (VA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 01077832A (IN)

Record details

NPI number1164650461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Shadeland Anesthesia And Pain Associates Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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