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

Sungwook S Kim, MD

Individual provider Family Medicine Physician · NPI 1871798900

Sungwook S Kim, MD is a Family Practice in Henderson, Nevada. Qualified in 2003, 23 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
23
Licensed in
NV
In the registry since
2007
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

1720 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89012-4896
Phone: (702) 566-5445
Fax: (702) 566-5035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12166 (NV)

Record details

NPI number1871798900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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