KEVIN SHIM DPM
NPI 1184116584
Podiatrist - Foot Surgery in Bay Shore, NY

Q: What is Kevin Shim's NPI number?

The NPI number for Kevin Shim is 1184116584. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Kevin Shim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Shim was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment

1810 UNION BLVD, BAY SHORE, NY 11706(631) 968-5600(631) 328-1627 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 13, 2025, Jul 8, 2022, May 16, 2022 and 5 more (8 updates tracked since 2019).

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About Kevin Shim Dpm NPPES

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

KEVIN SHIM DPM (NPI 1184116584) is an individual foot surgery provider in Bay Shore, New York, licensed in New York (007146) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Temple University School Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1184116584

Entity TypeIndividualMale

Primary Taxonomy213ES0131X

Provider Legal NameKEVIN SHIMCredential: DPM

Location Address1810 UNION BLVDBay Shore, NY 11706-7923

Mailing Address1810 Union BlvdBay Shore, NY 11706-7923 · (631) 968-5600 · Fax (631) 328-1627

Phone(631) 968-5600

Fax(631) 328-1627

Sole ProprietorYes

Medical School CMSTemple University School Of Podiatric MedicineGraduated 2018

Enumeration DateMay 31, 2018

Last NPPES UpdateJune 13, 20258 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1184116584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in NY · 007146

Also ListedPodiatristTaxonomy 213E00000X · License 007146 (NY)

1810 UNION BLVD, Bay Shore, NY 11706

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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

Kevin Shim 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 ID8224441191

PECOS Enrollment IDI20230710002361

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

Medicare enrollment records show Kevin Shim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ny Foot & Ankle Specialist DPM PC

3.7 mi

Foot & Ankle Surgery

620 SUFFOLK AVE
Brentwood, NY 11717

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1851472419 (631) 231-1401

North Shore - Lij Medical PC

24 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

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 11

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.

91 services49 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.

86 services69 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services23 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.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330043

Location301 East Main StreetBay Shore, NY 11706 · Suffolk County

Emergency services Birthing friendly

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330045

Location270 Park AvenueHuntington, NY 11743 · Suffolk County

Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330331

Location888 Old Country RoadPlainview, NY 11803 · Nassau County

Emergency services

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 Kevin Shim's NPI number?

The NPI number for Kevin Shim is 1184116584. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Kevin Shim located?

Kevin Shim practices at 1810 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 968-5600.

What is Kevin Shim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Kevin Shim enrolled in Medicare?

Yes. Kevin Shim 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 Kevin Shim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Shim reassigns Medicare benefits to 2 organizations: Ny Foot & Ankle Specialist DPM PC (Brentwood, NY) and North Shore - Lij Medical PC (New Hyde Park, 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 Kevin Shim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Shim affiliated with any hospitals?

According to CMS data, Kevin Shim is affiliated with Ns/Lij Hs Southside Hospital, Ns/Lij Hs Huntington Hospital, North Shore University Hospital and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Shim was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.