Active NPI
Sara Ka Rham Kim, MD
- Obstetrics & Gynecology Physician
- Stony Brook, NY
National Provider Identifier
1477949360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 299291
- Practice address
- 101 Nicolls Rd
Stony Brook Medicine Department of OB/GYN HSC T9
Stony Brook, NY 11794-8094 - Phone
- (631) 444-4686
- Fax
- (631) 444-4622
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 299291 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook Medicine Department of OB/GYN HSC T9
Stony Brook, NY 11794-8094
Mailing address
101 Nicolls Rd
Stony Brook Medicine Department of OB/GYN HSC T9
Stony Brook, NY 11794-8094
Phone (631) 444-4686
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sara.kim@direct.stonybrookmedicine.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299291 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Associates in Obstetrics & Gynecology, University Faculty P | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649462400000",
"number": "1477949360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"address_2": "STONY BROOK MEDICINE DEPARTMENT OF OB/GYN HSC T9",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948094",
"telephone_number": "631-444-4686",
"fax_number": "631-444-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"address_2": "STONY BROOK MEDICINE DEPARTMENT OF OB/GYN HSC T9",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948094",
"telephone_number": "631-444-4686",
"fax_number": "631-444-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SARA",
"middle_name": "KA RHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2022-04-09",
"certification_date": "2022-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "299291",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sara.kim@direct.stonybrookmedicine.edu",
"affiliation": "N",
"address_1": "101 Nicolls Rd",
"address_2": "Stony Brook Medicine Department of OB/GYN HSC T9",
"city": "Stony Brook",
"state": "NY",
"country_code": "US",
"postal_code": "117948094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.