Individual provider Active NPI

Hae-Ok Kim, M.D

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1407808876
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
220513 Issued in NY
Practice address
180 Fort Washington Ave FL 7
New York, NY 10032-3722
Phone
(212) 305-8555
Fax
(212) 305-3975
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2205131 NY
Otolaryngology Physician 207Y00000X 220513 NY Primary

Addresses

Primary practice location

180 Fort Washington Ave FL 7
New York, NY 10032-3722

Mailing address

180 Fort Washington Ave FL 8
New York, NY 10032-3722
Phone (212) 305-8555

Other practice location 1

380 2nd Ave
9th Floor
New York, NY 10010-5615
Phone (212) 614-8388

Other identifiers 1

IdentifierTypeStateIssuer
02744952MedicaidNY

Other names 1

  • Dr. Hae Ok Ana Kim Professional name

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
I20060816000430 NY Practitioner - Otolaryngology 9537162300 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, shared by 10 NPIs, 2,262 clinicians

Practice addresses (Care Compare)

51 W 51St St
FL 3 Suite 360
New York, NY 10019-6113
Phone (212) 326-8426

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-4931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2205131NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Otolaryngology CurrentSince Nov 27, 2016 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 27, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Otolaryngology CurrentSince Apr 1, 2018 Accepting new patients
Gregory Levitin MD PC Specialist Past Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology Past Accepting new patients
Trustees of Columbia University in the City of New York PastSince Aug 1, 2020 Accepting new patients

Locations

180 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-5242

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 305-5820

380 2nd Ave
Fl 9
New York, NY 10010
Phone (212) 614-8379

310 E 14th St
#1
New York, NY 10003

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

310 E 14th St
Fl 6
New York, NY 10003
Phone (212) 979-4200

Networks

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

Interoperability endpoints

  • Direct secure messaging: hkim@direct.nyee-provider.mountsinai.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ahk9005@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407808876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORT WASHINGTON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323722",
            "telephone_number": "212-305-8555",
            "fax_number": "212-305-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT WASHINGTON AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323722",
            "telephone_number": "212-305-8555",
            "fax_number": "212-305-3975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 2nd Ave",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105615",
            "country_code": "US",
            "telephone_number": "212-614-8388",
            "fax_number": "212-979-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAE-OK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2205131",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "220513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02744952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAE OK",
            "last_name": "KIM",
            "middle_name": "ANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.