Sun Moon Kim, DO
NPI 1669069696 · Student in an Organized Health Care Education/Training Program · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sun Moon Kim, DO is a Student in an Organized Health Care Education/Training Program provider in Philadelphia, PA (NPI 1669069696).
Provider details
- NPI number
- 1669069696
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 28RI03972600 (NJ)
Specialties & taxonomies
Student, Health Care
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2025-04-29
- Certified
- 2025-04-16
Frequently asked questions
- What is Sun Moon Kim's NPI number?
- Sun Moon Kim's National Provider Identifier (NPI) is 1669069696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sun Moon Kim's specialty?
- Sun Moon Kim is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Sun Moon Kim located?
- Sun Moon Kim's practice location on file with NPPES is 4190 City Ave, Philadelphia, PA 19131-1626.
- What is Sun Moon Kim's phone number?
- The practice phone number listed in the NPPES registry for Sun Moon Kim is (215) 871-6690.
- Does Sun Moon Kim accept Medicare?
- Sun Moon Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sun Moon Kim's NPI active?
- Yes — Sun Moon Kim's NPI (1669069696) is active in the NPPES registry as of the last update on 2025-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.