Individual provider

Su Kyung Kim, CRNP

Women's Health Nurse Practitioner Medicare enrolled

Su Kyung Kim, CRNP is a Women's Health Nurse Practitioner in Philadelphia, PA, registered under NPI 1073062139.

Getting there

The practice address on file is 3400 CIVIC CENTER BLVD PCAM SOUTH 4TH FLOOR, Philadelphia, PA 19104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3400 CIVIC CENTER BLVD PCAM SOUTH 4TH FLOOR, Philadelphia, PA 19104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
SP013890 PA Women's Health Nurse Practitioner primary

This provider holds licence SP013890 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Nurse Practitioner
PAC ID
8729366976
Enrollment ID
I20161024001202

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Women's Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Women's Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073062139 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 29, 2016
Last updatedDec 1, 2016
StatusActive
Sole proprietorNo
CredentialCRNP
Practice address 3400 CIVIC CENTER BLVD
PCAM SOUTH 4TH FLOOR
Philadelphia, PA 19104
(215) 573-6158
This record was last updated on Dec 1, 2016, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1073062139 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 0 6 2 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 0 6 4 1 6

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073062139?
NPI 1073062139 is the National Provider Identifier assigned to Su Kyung Kim, CRNP in Philadelphia, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Women's Health cover?
Definition to come...
How do I contact Su Kyung Kim, CRNP?
The phone number on file with NPPES is (215) 573-6158, last updated Dec 1, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Su Kyung Kim, CRNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1073062139 a valid number?
Yes. 1073062139 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.