Advanced Minimally Invasive Surgical
NPI 1295056919ActiveOrganization· Surgery· Phoenix, AZ
Surgery in Phoenix, Arizona, registered in NPPES in June 2010. The authorized official on file is Kiup Alex Kim, MD, Manager. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1295056919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2010 |
| Last updated in NPPES | Oct 18, 2022 |
| Certified by provider | Oct 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Family Medicine, Adult Medicine | 207QA0505X | — | — |
| Family Medicine, Bariatric Medicine | 207QB0002X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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