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RANDIE KIM MD, PHD
NPI 1104059773
Dermatology in New York, NY

Active since August 31, 2009PECOS Enrolled
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Randie Kim Md, Phd NPPES

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

RANDIE KIM MD, PHD (NPI 1104059773) is an individual dermatology provider in New York, New York, licensed in New York (275296) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104059773
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameRANDIE KIMCredential: MD, PHD
Location Address550 FIRST AVENUE, NYU LANGONE MEDICAL CENTERNew York, NY 10016
Mailing Address550 First Avenue, Nyu Langone Medical CenterNew York, NY 10016 · (212) 263-5506
Phone(212) 263-5506
Sole ProprietorNo
Enumeration DateAugust 31, 2009
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1104059773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 275296
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 275296 (NY)
550 FIRST AVENUE, New York, NY 10016
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Other Identifiers 1

Medicare UPINA400147777NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randie Kim Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Randie Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fpa Hospital Based
3.4 mi
Diagnostic Radiology
1176 5TH AVE, #1235
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
NPI 1487995700 (212) 241-6381
Icahn School Of Medicine At Mount Sinai
3.5 mi
Anatomic Pathology & Clinical Pathology
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1922365915 (New York)
  • 96 clinicians in this Medicare group
NPI 1104162700 (212) 241-6500
New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 20

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

JENNIFER AHN M.D.
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
UGO UGURU MD
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE
NEW YORK, NY 10016
New York County (212) 263-5506
TRACY M WRIGHT M.D.
Ophthalmology
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
YAJUVENDRA VASANTRAO GAWAI MBBS
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
NEW YORK UNIVERSITY
Otolaryngology
550 FIRST AVENUE, SUITE 8S
NEW YORK, NY 10016
New York County (212) 263-5565
LESLIE JAMES MD
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE
NEW YORK, NY 10016
New York County (212) 263-5506
TARA RICHTER SMITH
Anesthesiology
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
DR. PHILIP ANTHONY HODNETT
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506

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 Randie Kim's NPI number?

The NPI number for Randie Kim is 1104059773. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Randie Kim located?

Randie Kim practices at 550 First Avenue Nyu Langone Medical Center, New York, NY 10016. The listed phone number is (212) 263-5506.

What is Randie Kim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Randie Kim enrolled in Medicare?

Yes. Randie Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randie Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randie Kim reassigns Medicare benefits to 3 organizations: Fpa Hospital Based (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY) and New York University (Boynton Beach, FL). 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 Randie 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 Randie Kim was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.