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DR. KELLY BONKYUNG GOO MD, MPH
NPI 1164119798
Internal Medicine in New York, NY

Active since April 24, 2023PECOS Enrolled
815 BROADWAY, NEW YORK, NY 10003(646) 614-8200(646) 614-8386 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kelly Bonkyung Goo Md, Mph NPPES

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

DR. KELLY BONKYUNG GOO MD, MPH (NPI 1164119798) is an individual internal medicine provider in New York, New York, licensed in New York (345303) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164119798
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY BONKYUNG GOOCredential: MD, MPH
Location Address815 BROADWAYNew York, NY 10003-0107
Mailing Address815 BroadwayNew York, NY 10003-0107 · (646) 614-8200 · Fax (646) 614-8386
Phone(646) 614-8200
Fax(646) 614-8386
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1164119798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 345303
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
815 BROADWAY, New York, NY 10003
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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 (PECOS)

Dr. Kelly Bonkyung Goo Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Kelly Goo's NPI number?

The NPI number for Kelly Goo is 1164119798. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Kelly Goo located?

Kelly Goo practices at 815 Broadway, New York, NY 10003. The listed phone number is (646) 614-8200.

What is Kelly Goo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Goo enrolled in Medicare?

Yes. Kelly Goo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Goo was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.