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

Q: 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.

Q: What is Sora Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sora Kim was last updated on May 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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