CARL DONGSEONG KIM MD
NPI 1063152114
Internal Medicine in Philadelphia, PA
About Carl Dongseong Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL DONGSEONG KIM MD (NPI 1063152114) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD490512) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carl Dongseong Kim Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carl Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: City Of Philadelphia
- 157 clinicians in this Medicare group
Philadelphia, PA 19106
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
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 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Carl Kim's NPI number?
The NPI number for Carl Kim is 1063152114. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Carl Kim located?
Carl Kim practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-3000.
What is Carl Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carl Kim enrolled in Medicare?
Yes. Carl 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.
Which organizations bill Medicare for Carl Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Kim reassigns Medicare benefits to 2 organizations: Philadelphia Dept. Of Public Health (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). 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 Carl 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 Carl Kim was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Carl Dongseong Kim, MD · NPI 1063152114
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1063152114 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD490512 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 SPRUCE ST, Philadelphia, PA 19107-6192
- **Phone:** (215) 829-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Philadelphia Dept. Of Public Health (NPI 1821172107, Philadelphia, PA); Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1942319777, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063152114) · Data from the CMS NPPES public registry.