SUNGNAM JOE M.D. – NPI #1376538389
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

SUNGNAM JOE is a physician located in KINGMAN, AZ. NPPES has assigned the NPI number 1376538389 to SUNGNAM JOE on September 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Apr 17, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNGNAM JOE below.

NPI Profile for
SUNGNAM JOE

NPI Number
1376538389
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SUNGNAM JOE
Credentials
M.D.
Primary location
1510 N STOCKTON HILL RD
KINGMAN, AZ 86401-5173
Phone: (928) 753-1177 Fax: (928) 718-4501
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUNGNAM JOE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherLICENSEAZ24593
medicaidAZ363151
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 AZ 24593

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUNGNAM JOE is affiliated with the following medical group(s):
  • HOSPITAL
    • KINGMAN REGIONAL MEDICAL CENTER
      3269 STOCKTON HILL ROAD
      KINGMAN, AZ 86401
  • HOME HEALTH AGENCY
    • KINGMAN REGIONAL MEDICAL CENTER HOME HEALTH
      2202 STOCKTON HILL ROAD, SUITE 200
      KINGMAN, AZ 86401
    • RIVER VALLEY HOME HEALTH
      1900 NORTH MCCULLOCH BOULEVARD, SUITE 109
      LAKE HAVASU CITY, AZ 86403

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