Endovascular
NPI 1972221182ActiveOrganization· Surgery· Gallup, NM
Surgery in Gallup, New Mexico, registered in NPPES in August 2022. The authorized official on file is Kiup Alexander Kim, MD, Chief Medical Officer.
Overview
| NPI | 1972221182 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2022 |
| Last updated in NPPES | Sep 8, 2022 |
| Certified by provider | Sep 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Family Medicine, Bariatric Medicine | 207QB0002X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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