Kyoung S Kim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

143328 Issued in NY

Practice address

169 North Plank Road
Newburgh, NY 12550

Phone

(845) 561-6191

Fax

(845) 561-4145

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkim1@direct.health-quest.org

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.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828

  Internal Medicine

  Medicare reassignment NPD
• Israel Schur MD PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1962917492
  NPD
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD
• Valley Interventional Medical Associates, PLLC

  • Medical Specialty Clinic/Center
  • Fishkill, NY
  • NPI 1891067617
  NPD
• Nephrology & Hypertension of Hudson Valley, PLLC

  • Nephrology Physician
  • Newburgh, NY
  • NPI 1467556696
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1699864959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 NORTH PLANK ROAD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-6191",
            "fax_number": "845-561-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 NORTH PLANK ROAD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-6191",
            "fax_number": "845-561-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYOUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143328",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "143328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00510114060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Hamza Khan, M.D.
• Neel Khanna, MD
• Barbara A. Kidney, PH.D.
• Lisa Wing Kiernan, M.S.,ED,, CCC-SLP
• Katherine Kim, MD
• Megan King
• Monet King
• Mahesh Kinkhabwala, M.D.
• Sarusan Kirupamoorthy, MD
• Kiss Dental Care PLLC

• Internal Medicine Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.