Individual provider Active NPI

Anthony C Kim, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1356662316
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
245512-1 Issued in NY
Practice address
61 E 77TH St
New York, NY 10075-1817
Phone
(212) 772-3111
Fax
(212) 288-1637
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 245512-1 NY Primary

Addresses

Primary practice location

61 E 77TH St
New York, NY 10075-1817

Mailing address

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

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
I20110629000567 NY Practitioner - Diagnostic Radiology 9739367376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

1014 Brooklyn Ave
Brooklyn, NY 11203-4003
Phone (718) 282-7000

1050 Clove Rd
Staten Island, NY 10301-3627
Phone (646) 680-4917

1128 Eastern Pkwy
Brooklyn, NY 11213-4108
Phone (718) 732-0222

1137 Broadway
Hewlett, NY 11557-2321
Phone (516) 569-8885

1161 Montauk Hwy
West Islip, NY 11795-4930
Phone (631) 277-1600

1230 Ave R
Brooklyn, NY 11229-1016
Phone (718) 376-6300

13528 37TH Ave
Flushing, NY 11354-4108
Phone (212) 772-3111

1390 Hempstead Tpke
Elmont, NY 11003-2539
Phone (631) 277-1600

141 S Central Ave
Hartsdale, NY 10530-2319
Phone (914) 761-4030

144 4TH Ave
New York, NY 10003-4901
Phone (212) 590-2900

146 Manetto Hill Rd
Suite 140
Plainview, NY 11803-1324
Phone (516) 522-3600

147 W 15TH St
New York, NY 10011-6749
Phone (212) 590-5900

17802 Hillside Ave
Jamaica, NY 11432-3145
Phone (855) 547-4227

1790 Broadway
FL 9
New York, NY 10019-1412
Phone (212) 590-2900

18 Squadron Blvd
New City, NY 10956-5210
Phone (845) 634-9729

1888 Westchester Ave
Bronx, NY 10472-3000
Phone (718) 732-0222

2012 Sunrise Hwy
Merrick, NY 11566-3825
Phone (631) 277-1600

2095 Flatbush Ave
Brooklyn, NY 11234-4338
Phone (718) 338-6868

21302 Northern Blvd
Bayside, NY 11361-3344
Phone (718) 544-5151

214 Wall St
Huntington, NY 11743-7804
Phone (631) 427-8860

215 E 95TH St
Suite C
New York, NY 10128-4077
Phone (212) 996-8000

215 W 125TH St
New York, NY 10027-4426
Phone (212) 772-3111

2215 79TH St
Brooklyn, NY 11214-2004
Phone (718) 331-7000

23135 Merrick Blvd
Laurelton, NY 11413-2111
Phone (718) 544-5151

240 Madison Ave
New York, NY 10016-2820
Phone (212) 772-3111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.75 of 100Reported as group
Quality
25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
75.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245512-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jul 11, 2011 Accepting new patients
New York Private Medical Imaging Practice, PLLC CurrentSince Jul 11, 2011 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27745 Network Pl
Chicago, IL 60673

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

400 E 66th St
New York, NY 10065
Phone (212) 838-4243

106 E 61st St
New York, NY 10065
Phone (212) 751-9090

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1356662316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111",
            "fax_number": "212-288-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111",
            "fax_number": "212-288-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "245512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.