Individual provider Active NPI

Kim Alexander Guishard, MD

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1912929712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1542721 Issued in NY
Practice address
121 Dekalb Avenue
Brooklyn Hospital Center
Brooklyn, NY 11201
Phone
(718) 250-8000
Fax
(610) 617-6280
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1542721 NY Primary

Addresses

Primary practice location

121 Dekalb Avenue
Brooklyn Hospital Center
Brooklyn, NY 11201

Mailing address

PO Box 31724
Brooklyn Hospital Center
Hartford, CT 06150-1724
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
01719855MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000139 NY Practitioner - Emergency Medicine 9335177849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1542721NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brooklyn Hospital Center Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients
Emergency Medical Association Sound Shore PLLC Emergency Medicine PastSince Sep 21, 2025 Accepting new patients
Brooklyn Hospital Center - Emergency Department Emergency Medicine Past Accepting new patients

Networks

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

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912929712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31724",
            "address_2": "BROOKLYN HOSPITAL CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061501724",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVENUE",
            "address_2": "BROOKLYN HOSPITAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-8000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUISHARD",
        "first_name": "KIM",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "1542721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.