Sangjung Kim
NPI 1619795424ActiveIndividual· Nurse Anesthetist, Certified Registered· Tamuning, GU
Nurse Anesthetist, Certified Registered in Tamuning, Guam, trained at Marquette University School of Dentistry (class of 2024). Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1619795424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 30, 2024 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 100181 | GU |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (GU) |
|---|
Education and affiliations
| Medical school | Marquette University School of Dentistry |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Guam Healthcare Development IncorporatedDededo, GU · 207 clinicians
Hospital affiliation
- Guam Regional Medical CityDededo, GU
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Tamuning
- 1841708997
- 1487147161
- 1396149134
- 1245538669
All Nurse Anesthetist, Certified Registered providers in Guam →