Chung Hoon Kim, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

188548 Issued in NY

Practice address

130 Office Pkwy
Suite B Tobey Village Office Park
Pittsford, NY 14534-1700

Phone

(585) 381-1860

Fax

(585) 381-2269

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Chung H. Kim MD, PC

  • Gastroenterology Physician
  • Pittsford, NY
  • NPI 1528134657
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801802343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OFFICE PKWY",
            "address_2": "SUITE B TOBEY VILLAGE OFFICE PARK",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341700",
            "telephone_number": "585-381-1860",
            "fax_number": "585-381-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 OFFICE PKWY",
            "address_2": "SUITE B TOBEY VILLAGE OFFICE PARK",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341700",
            "telephone_number": "585-381-1860",
            "fax_number": "585-381-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHUNG",
        "middle_name": "HOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "188548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE ALL BILLIN",
            "identifier": "MDF978",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE (ALL)",
            "identifier": "101412BT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "2308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ALL",
            "identifier": "7068140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin B Wynne OD PLLC
• Kevin B Wynne OD PLLC
• Kevin B Wynne OD PLLC
• Anteres Kil
• Alexandra Kiley, DPT
• Jacqueline Kim, DDS
• Lauren Anne Kimble-Giglia
• Daniel Gerard Klein, DDS
• Doron Kochman, DDS
• Harneet Rikki Kohli, MD

• Gastroenterology Physician in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.