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DR. CHANGRAE KIM DPM
NPI 1083022149
Podiatrist - Foot & Ankle Surgery in Maspeth, NY

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
6508 GRAND AVE, MASPETH, NY 11378(917) 359-3937 Get Directions Write a Review

NPPES record last updated: August 31, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Changrae Kim Dpm NPPES

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

DR. CHANGRAE KIM DPM (NPI 1083022149) is an individual foot & ankle surgery provider in Maspeth, New York, licensed in New York (006653) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1083022149
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. CHANGRAE KIMCredential: DPM
Location Address6508 GRAND AVEMaspeth, NY 11378-2423
Mailing Address2 Bay Club Dr Apt 5xBayside, NY 11360-2921 · (917) 359-3937
Phone(917) 359-3937
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2008
Enumeration DateJuly 31, 2014
Last NPPES UpdateAugust 31, 2014
✔ NPI 1083022149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · 006653
6508 GRAND AVE, Maspeth, NY 11378
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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

Dr. Changrae 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 ID9638391592
PECOS Enrollment IDI20141107001450
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 Changrae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jamaica Hospital
4.7 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918

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

Areas of Expertise CMS Part B claims 4

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.
246 services133 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.
53 services53 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.
49 services26 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.
28 services21 patients

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.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.01
Promoting Interoperability96
Improvement Activities40
Cost39.58

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%20 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
66%126 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
26%126 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%126 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
6%126 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

STEVEN MEHL, D.P.M., P.C.
Podiatrist (Foot & Ankle Surgery)
6508 GRAND AVE
MASPETH, NY 11378
Queens County (718) 326-7771

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 Changrae Kim's NPI number?

The NPI number for Changrae Kim is 1083022149. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Changrae Kim located?

Changrae Kim practices at 6508 Grand Ave, Maspeth, NY 11378. The listed phone number is (917) 359-3937.

What is Changrae Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Changrae Kim enrolled in Medicare?

Yes. Changrae 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 organization bills Medicare for Changrae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Changrae Kim reassigns Medicare benefits to Jamaica Hospital (Jamaica, 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 Changrae 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 Changrae Kim was last updated on August 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.