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SOYOUNG KIM
NPI 1063257178
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment
1626 LOCUST ST, PHILADELPHIA, PA 19103(267) 978-4290 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Jun 29, 2024 (2 updates tracked since 2024).

About Soyoung Kim NPPES

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

SOYOUNG KIM (NPI 1063257178) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029814) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063257178
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOYOUNG KIM
Location Address1626 LOCUST STPhiladelphia, PA 19103-6305
Mailing Address45 Cropwell LnHolland, PA 18966-2585 · (267) 978-4290
Phone(267) 978-4290
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 28, 2024
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1063257178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP029814
1626 LOCUST ST, Philadelphia, PA 19103
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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

Soyoung 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 ID6305360736
PECOS Enrollment IDI20250408000344
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 15

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

DR. HOLLY MARIE JOLAN BRADY DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (302) 265-0020
MS. LA'SHAY YVETTE HILL-ALIBEY
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (833) 486-7731
MS. SHANELL JEANNETTE HARRISON PHLEBOTOMIST
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (888) 978-4256
MS. ANJALEA NOBLE M.S, LPC
Counselor (Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (215) 346-6676
MAHMOUD YACOUB
Counselor (Mental Health)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (330) 367-7751
MISS KORI ELIZABETH MANFREDO CRNP, FNP-BC
Nurse Practitioner (Family)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (470) 410-4080
GENEVA MASON
Technician, Pathology (Phlebotomy)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (215) 908-7795
MRS. LIDIAYBETH C VICTORIANOABREU LCSW
Social Worker (Clinical)
1626 LOCUST ST
PHILADELPHIA, PA 19103
Philadelphia County (646) 941-7645

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 Soyoung Kim's NPI number?

The NPI number for Soyoung Kim is 1063257178. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Soyoung Kim located?

Soyoung Kim practices at 1626 Locust St, Philadelphia, PA 19103. The listed phone number is (267) 978-4290.

What is Soyoung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Soyoung Kim enrolled in Medicare?

Yes. Soyoung 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.

When was this NPI record last updated?

The NPPES record for Soyoung Kim was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.