Individual provider Active NPI

Kyong Kim, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Aventura, FL
National Provider Identifier
1265888473
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007015 Issued in NY
Practice address
18151 NE 31St CT
Apt 911
Aventura, FL 33160-2660
Phone
(786) 617-2905
NPI assigned
May 5, 2016
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007015 NY Primary

Addresses

Primary practice location

18151 NE 31St CT
Apt 911
Aventura, FL 33160-2660

Mailing address

222 E 44TH St Apt 29F
New York, NY 10017-4467
Phone (786) 617-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191224000568 NY Practitioner - Podiatry 0648604736 Reassigns benefits to 2 organizations
Practice locations: New York, NY
I20200721002000 NJ Practitioner - Podiatry 0648604736 Reassigns benefits to 1 organization
Practice locations: Fort Lee, NJ

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007015NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Union Podiatry LLP Foot & Ankle Surgery CurrentSince Aug 31, 2020 Accepting new patients
Medcare, LLC CurrentSince Jun 1, 2021 Accepting new patients
Nys Podiatry PC Foot & Ankle Surgery CurrentSince Mar 7, 2021 Accepting new patients
Essex Union Podiatry LLP Foot & Ankle Surgery CurrentSince Aug 31, 2020 Accepting new patients
Wen-Ray Thomas Hsu, MD, PC Past Accepting new patients
Lafayette Medical Office, PC Past Accepting new patients

Locations

1600 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-2375

500 Morris Ave
Ste 203
Springfield, NJ 07081
Phone (973) 376-8210

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

30 Central Park S
Rm 1A
New York, NY 10019
Phone (212) 755-1282

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1265888473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 44TH ST APT 29F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174467",
            "telephone_number": "786-617-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 NE 31ST CT",
            "address_2": "APT 911",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602660",
            "telephone_number": "786-617-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYONG",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.