Active NPI
Robert Byron Kim, M.D.
- Pain Medicine (Anesthesiology) Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 265993
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Drexel University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kotlyar Medical PC | Current | Accepting new patients | |
| Ny Monitored Anesthesia Care PC | Current | Accepting new patients | |
| Tri-Star Physician, LLC | Current | Accepting new patients | |
| Unique Pain Medicine PLLC | Past | 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
- 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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1205363454
-
- Anesthesiology Physician
- Albertson, NY
- NPI 1396002556
-
- Interventional Pain Medicine Physician
- Flushing, NY
- NPI 1144519042
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1265735344
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.