Individual provider Active NPI

Robert Byron Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
National Provider Identifier
1992905533
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
265993 Issued in NY
Practice address
14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone
(718) 224-1600
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 265993 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X FK2524797 CA

Addresses

Primary practice location

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613

Mailing address

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone (718) 224-1600

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
I20130307000211 NY Practitioner - AnesthesiologyPractitioner - Pain Management 3779738240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Drexel University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kotlyar Medical PCGroup PAC ID 9234408766, 4 clinicians

Practice addresses (Care Compare)

369 Lexington Ave
RM 800
New York, NY 10017-6536
Phone (347) 252-6732

626 Sheepshead Bay Rd
Suite 520
Brooklyn, NY 11224-3606
Phone (929) 363-0303

Merit-based Incentive Payment System (MIPS)

Final score
98.18 of 100Reported as group
Quality
95.45
Promoting interoperability
99
Improvement activities
40
Cost
82.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kotlyar Medical PC CurrentSince Sep 1, 2024 Accepting new patients
Ny Monitored Anesthesia Care PC CurrentSince Nov 1, 2012 Accepting new patients
Tri-Star Physician, LLC CurrentSince Feb 16, 2013 Accepting new patients
Unique Pain Medicine PLLC PastSince Mar 1, 2015 Accepting new patients

Locations

14021 32nd Ave
Ste C1
Flushing, NY 11354
Phone (718) 224-1600

369 Lexington Ave
Rm 800
New York, NY 10017
Phone (347) 252-6732

Interoperability endpoints

  • Direct secure messaging: robert.kim.1@14966.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1992905533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROBERT",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "265993",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "FK2524797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.