Individual provider Active NPI

Hannah Kyung Me Kim, DPM, MSC

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1639224843
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005804 Issued in NY
Practice address
460 E 79TH St Ofc 1a
New York, NY 10075-1409
Phone
(212) 860-3339
Fax
(212) 988-7806
NPI assigned
Jan 25, 2007
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005804 NY Primary

Addresses

Primary practice location

460 E 79TH St Ofc 1a
New York, NY 10075-1409

Mailing address

460 E 79TH St Ofc 1a
New York, NY 10075-1409
Phone (212) 860-3339

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001816 NY Practitioner - Podiatry 7517940406 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

460 E 79TH St
Ofc 1a
New York, NY 10075-1409
Phone (212) 860-3339

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue381
Removal of skin lesions1-10
Removal of nail tissue354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005804NYMDFoot Surgery Podiatrist
005804NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gramercy Obs Facility LLC Past Accepting new patients
New York Independent Practice of Anesthesia, PC Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1639224843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E 79TH ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751409",
            "telephone_number": "212-860-3339",
            "fax_number": "212-988-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E 79TH ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751409",
            "telephone_number": "212-860-3339",
            "fax_number": "212-988-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNAH",
        "middle_name": "KYUNG ME",
        "name_prefix": "Dr.",
        "credential": "DPM, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "460 E 79th St Ofc 1A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100751409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.