Su Gym Kim, M.D.
Su Gym Kim, M.D. is an Interventional Pain Medicine Physician in Providence, RI, registered under NPI 1235418369.
Getting there
The practice address on file is 593 EDDY ST GEORGE BUILDING, FIRST FLOOR, Providence, RI 02903. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD15614 | RI | Interventional Pain Medicine Physician primary |
| 46722 | KY | Interventional Pain Medicine Physician |
Licences are recorded in 2 states: RI, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Interventional Pain Management
- PAC ID
- 5395969943
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Rhode Island | I20170117001481 | Practitioner - Interventional Pain Management |
| Connecticut | I20190207002162 | Practitioner - Physical Medicine And Rehabilitation |
Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Pain Management. There are 2 separate enrolment records across 2 states (RI, CT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. 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.
Licensed in 2 states
This provider holds licences in 2 states: Kentucky and Rhode Island. The practice address on file is in Providence, RI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- MD15614
- Specialty
- Interventional Pain Medicine Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | MD15614 | RI | primary |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 46722 | KY |
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.
| NPI | 1235418369 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 7, 2011 |
| Last updated | Oct 26, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
593 EDDY ST GEORGE BUILDING, FIRST FLOOR Providence, RI 02903 (401) 444-3777 Fax (401) 444-7249 |
| Mailing address |
117 ELLENFIELD ST SUITE 101 Providence, RI 02905 |
Number check
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 | 2 | 3 | 5 | 4 | 1 | 8 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 6 | 5 | 8 | 1 | 7 | 3 | 3 |
Sum = 61 · next multiple of 10 = 70 · 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.