SOOJI KIM DPM
NPI 1053717629
Podiatrist - Foot Surgery in New York, NY

Q: What is Sooji Kim's NPI number?

The NPI number for Sooji Kim is 1053717629. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Q: What is Sooji Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Sooji Kim was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment

233 BROADWAY RM 1775, NEW YORK, NY 10279(212) 921-7900 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2020, Jun 4, 2020 (2 updates tracked since 2020).

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About Sooji Kim Dpm NPPES

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

SOOJI KIM DPM (NPI 1053717629) is an individual foot surgery provider in New York, New York, licensed in New York (006777) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2007).

NPPES Registry Identity

NPI1053717629

Entity TypeIndividualFemale

Primary Taxonomy213ES0131X

Provider Legal NameSOOJI KIMCredential: DPM

Location Address233 BROADWAY RM 1775New York, NY 10279-1810

Mailing Address23 Saratoga StTappan, NY 10983-2620 · (845) 642-8851

Phone(212) 921-7900

Sole ProprietorYes

Medical School CMSNew York College Of Podiatric MedicineGraduated 2007

Enumeration DateNovember 10, 2014

Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1053717629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in NY · 006777

233 BROADWAY RM 1775, New York, NY 10279

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Other Identifiers 2

Medicaid04524594NY

Other006777NY · License

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

Sooji Kim Dpm 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 ID345538484

PECOS Enrollment IDI20161005002315

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services62 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

75 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

73 services73 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11307

This procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.

35 services21 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

31 services18 patients

Other Providers at the Same Location NPPES 9

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

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