NPIMap

Individual provider Active NPI

Christine Soojin Kim, M.D.

  • Otolaryngology Physician
  • Halfmoon, NY
National Provider Identifier
1396155958
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
300352 Issued in NY
Practice address
1783 Route 9 Ste 205
Halfmoon, NY 12065-2466
Phone
(518) 262-5575
NPI assigned
May 5, 2014
Last updated
Jan 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 300352 NY Primary

Addresses

Primary practice location

1783 Route 9 Ste 205
Halfmoon, NY 12065-2466

Mailing address

1783 Route 9 Ste 205
Halfmoon, NY 12065-2466
Phone (518) 262-5575

Other practice location 1

381 Church St
Saratoga Spgs, NY 12866-8640
Phone (518) 581-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814001771 NY Practitioner - Otolaryngology 1355688722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

35 Hackett Blvd
Albany, NY 12208-3420
Phone (518) 262-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300352NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Aug 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Aug 1, 2019 Accepting new patients
Albany Medical College CurrentSince Aug 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients

Locations

35 Hackett Blvd
Albany, NY 12208
Phone (518) 262-2540

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

50 New Scotland Ave
Fl 4
Albany, NY 12208

1783 Route 9
Ste 205
Halfmoon, NY 12065
Phone (518) 262-5575

381 Church St
Saratoga Springs, NY 12866
Phone (518) 581-1100

Interoperability endpoints

  • Direct secure messaging: ckim26129@albanymed.direct-ci.com

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1396155958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9 STE 205",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652466",
            "telephone_number": "518-262-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9 STE 205",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652466",
            "telephone_number": "518-262-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Spgs",
            "state": "NY",
            "postal_code": "128668640",
            "country_code": "US",
            "telephone_number": "518-581-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "SOOJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "300352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.