Peter Soo-Hwan Kim
NPI 1629688775ActiveIndividual· Physician Assistant· Chandler, AZ
Physician Assistant with Sjhmc Physician Services and 2 other groups, practicing in Chandler, Arizona. Mostly services rather than prescriptions: Medicare paid $8,036 for 73 patients in 2024, with only 45 Part D claims. Depuy Synthes Sales Inc. reported $289.73 in payments in 2025, mostly food and beverage. Lists Banner Boswell Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1629688775 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 4, 2020 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | 8841 | AZ |
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 - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 96 across 30 procedure codes |
| Paid by Medicare | $8,036 |
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $186.41 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Sjhmc Physician ServicesGilbert, AZ · 646 clinicians
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
- Chandler Regional Medical CenterChandler, AZ · 54 clinicians
Hospital affiliations
- Banner Boswell Medical CenterSun City, AZ
- Banner del E. Webb Medical CenterSun City West, AZ
- Banner Estrella Medical CenterPhoenix, AZ
- Banner Thunderbird Medical CenterGlendale, AZ
- Chandler Regional Medical CenterChandler, AZ
Industry payments (Open Payments)
- 2025$289.73 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $289.73 | 2 |
What the 2025 payments were for
- Food and Beverage$289.73 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 153 physician assistants in Chandler · All physician assistants in Arizona