Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel Chan Kim, MD

Urology Physician in Lafayette, IN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134129679

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Registry record

Entity type Individual (Type 1)

Name Samuel Chan Kim

Credential MD

Sex Male

Practice address 5165 Mccarty Ln, Lafayette, IN, 47905

Phone (765) 448-8000

Fax (765) 448-7619

Enumeration date Jul 27, 2005

Last updated in NPPES Aug 11, 2023

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 01058979A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
815500539	Other	IN	MEDICARE PTAN
200476300A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1134129679 active?

Yes, as of the latest NPPES snapshot, NPI 1134129679 is active (record last updated 2023-08-11).

How do I verify Samuel Kim's NPI record?

Cross-check NPI 1134129679 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-11.