Individual provider Active NPI

Paul H Kim, MD

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1205926003
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204946 Issued in NY
Practice address
170 Maple Ave Ste 309
White Plains, NY 10601-4714
Phone
(914) 220-0283
Fax
(914) 220-0288
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204946 NY Primary

Addresses

Primary practice location

170 Maple Ave Ste 309
White Plains, NY 10601-4714

Mailing address

9 Vassar PL
Scarsdale, NY 10583-4911
Phone (866) 633-8255

Other identifiers 1

IdentifierTypeStateIssuer
01955086MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000288 NY Practitioner - Internal Medicine 1658323597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

170 Maple Ave
FL 4
White Plains, NY 10601-4710
Phone (914) 328-8444

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
White Plains Physician Services PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2006 Accepting new patients
Maple Medical, LLP Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1575 Blondell Ave
Ste 200
Bronx, NY 10461
Phone (718) 405-8260

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

170 Maple Ave
Ste G-1
White Plains, NY 10601
Phone (914) 328-0932

170 Maple Ave
Fl 4
White Plains, NY 10601
Phone (914) 328-8444

170 Maple Ave
Ste 309
White Plains, NY 10601
Phone (914) 220-0283

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1205926003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VASSAR PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834911",
            "telephone_number": "866-633-8255",
            "fax_number": "718-405-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE STE 309",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014714",
            "telephone_number": "914-220-0283",
            "fax_number": "914-220-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01955086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.