CARLOS KIM
NPI 1023469236
Student in an Organized Health Care Education/Training Program in Patchogue, NY

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment
82.24/100
CMS Quality Rating
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7170 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlos Kim NPPES

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

CARLOS KIM (NPI 1023469236) is an individual student in an organized health care education/training program in Patchogue, New York and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2016).

NPPES Registry Identity

NPI1023469236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARLOS KIM
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 654-7170
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2016
Enumeration DateJune 29, 2016
NPI 1023469236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 HOSPITAL RD, Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224377072
PECOS Enrollment IDI20190222000848
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
893 services839 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services70 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

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.

82.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.94
Improvement Activities0
Cost79.7

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.

Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Surgical)
101 HOSPITAL RD
PATCHOGUE, NY 11772

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 Carlos Kim's NPI number?

The NPI number for Carlos Kim is 1023469236. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Carlos Kim located?

Carlos Kim practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7170.

What is Carlos Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carlos Kim enrolled in Medicare?

Yes. Carlos Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carlos Kim affiliated with any hospitals?

According to CMS data, Carlos Kim is affiliated with St Francis Hospital - The Heart Center, Long Island Jewish Medical Center, Good Samaritan Hospital Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Kim was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.