NPIMap

Individual provider Active NPI

Samuel M Kim

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1902224587
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
288447 Issued in NY
Practice address
Weill Cornell Medicine Division of Cardiology
520 East 70TH Street, Starr Pavilion 4TH Floor
New York, NY 10021-0010
Phone
(646) 962-5558
Fax
(646) 962-0050
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 288447 NY
Cardiovascular Disease Physician 207RC0000X 288447 NY Primary

Addresses

Primary practice location

Weill Cornell Medicine Division of Cardiology
520 East 70TH Street, Starr Pavilion 4TH Floor
New York, NY 10021-0010

Mailing address

Weill Cornell Medicine Division of Cardiology
1305 York Avenue 8TH Floor
New York, NY 10021-5663
Phone (646) 962-5558

Other practice location 1

The Johns Hopkins Hospital
1800 Orleans Street
Baltimore, MD 21287-0010
Phone (410) 955-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001824 NY Practitioner - Cardiovascular Disease (Cardiology) 3971736513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

520 E 70TH St RM
ST4 Cardiology Assoc
New York, NY 10021-9800
Phone (212) 746-2150

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

520 E 70th St
Fl 4
New York, NY 10021
Phone (212) 746-2381

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

520 E 70th St
Rm ST4
New York, NY 10021
Phone (212) 746-2150

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: smk9018@direct.nyp.org

Organizations & group practices 3

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1902224587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEILL CORNELL MEDICINE DIVISION OF CARDIOLOGY",
            "address_2": "1305 YORK AVENUE 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-5558",
            "fax_number": "646-962-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEILL CORNELL MEDICINE DIVISION OF CARDIOLOGY",
            "address_2": "520 EAST 70TH STREET, STARR PAVILION 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210010",
            "telephone_number": "646-962-5558",
            "fax_number": "646-962-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The Johns Hopkins Hospital",
            "address_2": "1800 Orleans Street",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-3613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "288447",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "288447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.