Kyungmee Kim, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

175595 Issued in NY

Practice address

13710 Franklin Ave
#L-1
Flushing, NY 11355-3842

Phone

(718) 359-0005

Fax

(718) 762-9296

NPI assigned

Sep 30, 2005

Last updated

Jan 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• CMC Housestaff

  dba St Vincents Catholic Medical Center

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)
• St Vincents Catholic Medical Center

  dba CMC Cardiology Services

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1619051703
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1518954957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE",
            "address_2": "#L-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-359-0005",
            "fax_number": "718-762-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE",
            "address_2": "#L-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-359-0005",
            "fax_number": "718-762-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUNGMEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "175595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01849090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kak Rae Kim, M.D.
• Kaye Y Kim, R.PH
• Kee Young Kim, MD
• Kevin Youngman Kim, P.T.
• Ko Eun Kim, LCAT
• Matthew Kim, RPH
• Mili Kim
• Min Jeong Kim
• Min Jung Kim, L. AC
• Minsuk K Kim

• Pulmonary Disease Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.