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TAESEONG KIM
NPI 1013518851
Nurse Practitioner - Acute Care in Mineola, NY

Active since November 06, 2020PECOS Enrolled
84.47/100
CMS Quality Rating
259 1ST ST # ER, MINEOLA, NY 11501(516) 663-2201 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2023, Nov 6, 2020 (2 updates tracked since 2020).

About Taeseong Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAESEONG KIM (NPI 1013518851) is an individual acute care provider in Mineola, New York, licensed in New York (432762) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013518851
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTAESEONG KIM
Location Address259 1ST ST # ERMineola, NY 11501-3957
Mailing Address259 1st St # ErMineola, NY 11501-3957 · (516) 663-2201
Phone(516) 663-2201
Sole ProprietorNo
Enumeration DateNovember 6, 2020
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1013518851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 432762
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 346753 (NY)
259 1ST ST # ER, Mineola, NY 11501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taeseong Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Taeseong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Health Medical New York PC
17 mi
Primary Care
407 WILLOUGHBY AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1124460696 (187) 470-0288
New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taeseong Kim's NPI number?

The NPI number for Taeseong Kim is 1013518851. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Taeseong Kim located?

Taeseong Kim practices at 259 1st St # ER, Mineola, NY 11501. The listed phone number is (516) 663-2201.

What is Taeseong Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Taeseong Kim enrolled in Medicare?

Yes. Taeseong Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Taeseong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taeseong Kim reassigns Medicare benefits to 2 organizations: New Health Medical New York PC (Brooklyn, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taeseong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taeseong Kim was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.