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Sangae Kim , CA

Acupuncturist β€’ Midvale, UT

Active NPI 1225538655 Individual Practitioner Female Practitioner
Practice location in NPPES

75 E Fort Union Blvd Ste 150
Midvale, UT 840471531

Call 8019007733 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

75 E Fort Union Blvd Ste 150

Midvale, UT 840471531

Telephone 8019007733
Organization at the Same NPPES Address or Phone
Shi Woo Acupuncture And Wellness Facility NPI 1932601028

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Midvale and Utah

2 active clinicians are listed under Acupuncturist with a practice address in Midvale, UT (103 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-19
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES UT 12976993-1201

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 19, 2024

Registered at 75 E FORT UNION BLVD STE 150, MIDVALE, UT 840471531 (Tel: 8019007733)

πŸ“
Updated Business Mailing Address March 19, 2024

Registered at 75 E FORT UNION BLVD STE 150, MIDVALE, UT 840471531 (Tel: 8019007733)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Acupuncturist (license number reported to NPPES: UT 12976993-1201)

βœ…
NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 12, 2018

Registered at 120 E 56TH ST RM 500, NEW YORK, NY 100223671 (Tel: 3475355354)

πŸ“
Business Mailing Address (Initial Record) February 12, 2018

Registered at 508 BROAD AVE APT A6, PALISADES PARK, NJ 076501679

πŸ‘€
Provider Name / Credentials (Initial Record) February 12, 2018

Recorded as SANGAE KIM, CA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Acupuncturist (license number reported to NPPES: NY 005877)

🟒
Initial NPI Registration & Enumeration February 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225538655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2018
Last Update: March 19, 2024
Sole Proprietor: Yes

Mailing Address

75 E Fort Union Blvd Ste 150

Midvale, UT 840471531

Phone: 8019007733

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.