Look up the most recent NPI and PECOS records

Susanne S. Kim

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as SUSANNE KIM.

Based on the most recent information from CMS, provider Susanne S. Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013298348
Provider Type
Individual
Full Name
Kim, Susanne S.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/31/2011
Last Updated
3/12/2025

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME135876 Florida
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 242896 New York

Susanne S. Kim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mccorvey, Barbara Michele

Chen, James Chuen-Chieh

Lamb, Wendy Laura Zolotor

Sloves, James Howard

Tedesco, Kurtis Lee

Couturier, Spencer Richard

Donohoo, Jay H

Malik, Dawood

Hotaling, Elise Liebeskind

Ho-Laumann, Nancy Nai-Shing