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SORA KIM FNP
NPI 1124403662
Nurse Practitioner - Family in Elmhurst, NY

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
7901 BROADWAY # D10-36, ELMHURST, NY 11373(718) 334-3570(718) 334-5006 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sora Kim Fnp NPPES

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

SORA KIM FNP (NPI 1124403662) is an individual family provider in Elmhurst, New York, licensed in New York (F339216) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124403662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSORA KIMCredential: FNP
Location Address7901 BROADWAY # D10-36Elmhurst, NY 11373-1329
Mailing Address7901 Broadway # D10-36Elmhurst, NY 11373-1329 · (718) 334-3570 · Fax (718) 334-5006
Phone(718) 334-3570
Fax(718) 334-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2015
Last NPPES UpdateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1124403662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339216
7901 BROADWAY # D10-36, Elmhurst, NY 11373
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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

Sora Kim Fnp 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 ID2769781954
PECOS Enrollment IDI20160421001773
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 Sora Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation
Same address
General Acute Care Hospital
79-01 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1063426377 (718) 334-4900
House Call Medical Services Of New York, PLLC
6.8 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Essen Medical Associates,pc
6.8 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500

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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 20

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

ANDY TOLEDO SLP
Speech-Language Pathologist
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3501
CHARMAINE NAGASARSINGH NP
Nurse Practitioner (Psychiatric/Mental Health)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3570
KARISA GORIS-MOROFF LMSW
Social Worker
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3501
DR. NEERAJ SHUKLA MD
Psychiatry & Neurology (Psychiatry)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3570
KATHLEEN MARY SPILLANE NP
Nurse Practitioner (Psychiatric/Mental Health)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3570
MICHELE ADAMS LCSW
Social Worker (Clinical)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3501
INDRA NATASHA NARAYAN LMSW
Social Worker
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-3501
MS. THEA GBUR-HOSSAIN LCSW
Social Worker (Clinical)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Queens County (718) 334-4601

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 Sora Kim's NPI number?

The NPI number for Sora Kim is 1124403662. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Sora Kim located?

Sora Kim practices at 7901 Broadway # D10-36, Elmhurst, NY 11373. The listed phone number is (718) 334-3570.

What is Sora Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sora Kim enrolled in Medicare?

Yes. Sora 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 Sora Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sora Kim reassigns Medicare benefits to 3 organizations: New York City Health And Hospitals Corporation (Elmhurst, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Essen Medical Associates,pc (Jamaica, NY). 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 Sora 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 Sora Kim was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.