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MS. HAKSOO KIM NURSE PRACTITIONER
NPI 1013562891
Nurse Practitioner - Adult Health in East Setauket, NY

Active since August 07, 2019PECOS Enrolled
98.52/100
CMS Quality Rating
26 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 444-0502(631) 444-0187 Get Directions Write a Review

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

Record update history: Jan 23, 2026, Aug 7, 2019 (2 updates tracked since 2019).

About Ms. Haksoo Kim Nurse Practitioner NPPES

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

MS. HAKSOO KIM NURSE PRACTITIONER (NPI 1013562891) is an individual adult health provider in East Setauket, New York, licensed in New York (309261) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013562891
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. HAKSOO KIMCredential: NURSE PRACTITIONER
Location Address26 RESEARCH WAYEast Setauket, NY 11733-3526
Mailing Address101 Nicolls Rd, Hsc, Level 16, Rm 80Stony Brook, NY 11794-8166 · (631) 444-1617 · Fax (631) 546-7004
Phone(631) 444-0502
Fax(631) 444-0187
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1013562891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309261
26 RESEARCH WAY, East Setauket, NY 11733
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Haksoo Kim Nurse Practitioner 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 Reassignment

Medicare enrollment records show Haksoo Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Internists, University Faculty Practice Corporation
1.9 mi
Nephrology
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 261 clinicians in this Medicare group
NPI 1215976337 (631) 444-2448

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER M MULVEY FITZGERALD NP, CDE
Nurse Practitioner (Family)
26 RESEARCH WAY, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (914) 649-9993
DR. LEONARD ARBEIT M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. EDWARD NORD M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. RAJEEV BALWANT PATEL M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-9953
DR. HAROLD CARLSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. MOHAMED MOHSEN MANSOUR M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-1750
MRS. FATIMA SHEIKH D.O
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. PETER F COHN M.D.
Internal Medicine (Cardiovascular Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580

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 Haksoo Kim's NPI number?

The NPI number for Haksoo Kim is 1013562891. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Haksoo Kim located?

Haksoo Kim practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-0502.

What is Haksoo Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Haksoo Kim enrolled in Medicare?

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

Which organization bills Medicare for Haksoo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haksoo Kim reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). The 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 Haksoo 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 Haksoo Kim was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.