Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225242985 Individual Practitioner Male Practitioner

Dr. Kiup Alexander Kim , MD, RPVI

Surgery - Vascular Surgery • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kiup Kim, MD, RPVI is a registered healthcare professional specializing in Surgery - Vascular Surgery in Phoenix, AZ. Practice services are available at 202 E EARLL DR STE 360 under active NPI credentials.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, laser destruction of incompetent vein of arm or leg using imaging guidance, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

202 E Earll Dr Ste 360

Phoenix, AZ 850122677

Telephone 4807885621
Fax 4807791277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.6 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Phoenix, AZ (113 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
15 14 $342.00 $111.76

Medical Specialties & State Licenses

CMS Verified: 2021-08-05
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License AZ 42708

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 42708

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
501341 (AZ)
Commercial Insurance / Payer ID Npi
1225242985 (AZ)
Commercial Insurance / Payer ID Ptan
Z139140 (AZ)

Secondary Practice Locations

333 N Dobson Rd

Chandler, AZ 852244412

Phone: 4807885621

5060 N 19th Ave Ste 207

Phoenix, AZ 85015

Phone: 4807885621

333 N Dobson Rd

Chandler, AZ 852244412

Phone: 4807885621

333 N Dobson Rd

Chandler, AZ 852244412

Phone: 4807885621

5060 N 19th Ave Ste 207

Phoenix, AZ 85015

Phone: 4807885621

5060 N 19th Ave Ste 105

Phoenix, AZ 85015

Phone: 4807885621

1455 W Chandler Blvd Ste B11

Chandler, AZ 85224

Phone: 4807885621

5060 N 19th Ave Ste 207

Phoenix, AZ 85015

Phone: 4807885621

5060 N 19th Ave Ste 207

Phoenix, AZ 85015

Phone: 4807885621

202 E Earll Dr Ste 360

Phoenix, AZ 850122677

Phone: 4807885621

2737 W Baseline Rd Ste 27

Tempe, AZ 852831051

Phone: 4807885621

5060 N 19th Ave Ste 207

Phoenix, AZ 85015

Phone: 4807885621

2737 W Baseline Rd Ste 27

Tempe, AZ 852831051

Phone: 4807885621

2737 W Baseline Rd Ste 27

Tempe, AZ 852831051

Phone: 4807885621

2737 W Baseline Rd Ste 27

Tempe, AZ 852831051

Phone: 4807885621

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Kendra Scott , DPT

Physical Therapist

NPI 1003473018

Doctor of Physical Therapy

NPI 1053415257

Doctor of Medicine (M.D.), FACS

Javier Yepiz , PA

Physician Assistant

NPI 1073108593

Physician Assistant

Jordan Schenk , PA-C

Physician Assistant

NPI 1154906782

Physician Assistant (Certified)

Dr. Hoang Nguyen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1205586799

Doctor of Podiatric Medicine

Dr. Joseph Krupa , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1245736644

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 05, 2021

Registered at 202 E EARLL DR STE 360, PHOENIX, AZ 850122677 (Tel: 4807885621)

📍
Updated Business Mailing Address August 05, 2021

Registered at 202 E EARLL DR STE 360, PHOENIX, AZ 850122677 (Tel: 4807885621)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Surgery (License #42708 in AZ)

📍
Updated Practice Location September 11, 2019

Registered at 5060 N 19TH AVE STE 207, PHOENIX, AZ 85015 (Tel: 4807885621)

📍
Updated Business Mailing Address September 11, 2019

Registered at 5060 N 19TH AVE STE 207, PHOENIX, AZ 850153212 (Tel: 4807885621)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2019

Surgery (License #42708 in AZ)

📍
Updated Practice Location February 05, 2019

Registered at 5060 N 19TH AVE STE 105, PHOENIX, AZ 85015 (Tel: 4807885621)

📍
Updated Business Mailing Address February 05, 2019

Registered at 333 N DOBSON RD STE 5, CHANDLER, AZ 852244412 (Tel: 4807885621)

NPI Profile Active October 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2013

Registered at 333 N DOBSON RD, CHANDLER, AZ 852244412 (Tel: 4807885621)

📍
Updated Business Mailing Address October 29, 2013

Registered at 3333 E POWELL PL, CHANDLER, AZ 852493468 (Tel: 4802997654)

👤
Provider Name / Credentials Updated October 29, 2013

Recorded as KIUP KIM, MD, RPVI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2013

Surgery (License #42708 in AZ)

🟢
Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225242985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: August 05, 2021
Sole Proprietor: No

Mailing Address

202 E Earll Dr Ste 360

Phoenix, AZ 850122677

Phone: 4807885621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.