Individual provider Active NPI

David H Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1427438522
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
301829 Issued in NY
Practice address
420 E 61St St Apt 14E
New York, NY 10065-8773
Phone
(702) 588-3470
Fax
(702) 242-8875
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA11021000 NJ
Anesthesiology Physician 207L00000X 301829 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 301829 NY Primary

Addresses

Primary practice location

420 E 61St St Apt 14E
New York, NY 10065-8773

Mailing address

420 E 61St St Apt 14E
New York, NY 10065-8773
Phone (702) 588-3470

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200430000122 NY Practitioner - Anesthesiology 7416254636 Reassigns benefits to 2 organizations
I20210218000820 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 7416254636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2878

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11021000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Spine Joint and Sports Medicine CurrentSince Mar 1, 2021 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC Anesthesiology CurrentSince Aug 28, 2020 Accepting new patients
David Hyunghwa Kim MD PLLC Anesthesiology Current Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jan 19, 2022 Accepting new patients

Locations

764 Broadway
Bayonne, NJ 07002
Phone (917) 232-2458

720 Monroe St
Ste C208
Hoboken, NJ 07030
Phone 20153392001005

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • 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 1

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1427438522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 61ST ST APT 14E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658773",
            "telephone_number": "702-588-3470",
            "fax_number": "702-242-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 61ST ST APT 14E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658773",
            "telephone_number": "702-588-3470",
            "fax_number": "702-242-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11021000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "301829",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "301829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.