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PETER YONG-KYU KIM M.D.
NPI 1205148632
Family Medicine in New York, NY

Active since July 14, 2010PECOS Enrolled
632 BROADWAY PH 12, NEW YORK, NY 10012(347) 294-3414 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 26, 2022, Mar 13, 2017, Aug 23, 2016 (3 updates tracked since 2016).

About Peter Yong-kyu Kim M.d. NPPES

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

PETER YONG-KYU KIM M.D. (NPI 1205148632) is an individual family medicine provider in New York, New York, licensed in Virginia (0101251592) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1205148632
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER YONG-KYU KIMCredential: M.D.
Location Address632 BROADWAY PH 12New York, NY 10012-2614
Mailing AddressPo Box 758963Baltimore, MD 21275-8963 · (804) 968-5700
Phone(347) 294-3414
Sole ProprietorNo
Enumeration DateJuly 14, 2010
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1205148632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101251592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
632 BROADWAY PH 12, New York, NY 10012
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Secondary Practice Location 1

Location 16311 Richmond HwyAlexandria, VA 22306-6410 · Phone (703) 647-6087 · Fax (703) 647-6088

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Yong-kyu Kim M.d. 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 10012 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
$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.

Other Providers at the Same Location NPPES 16

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

MICHELLE MOORE
Nurse Practitioner (Primary Care)
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 294-3414
ERIKA SURACE M.D.
Family Medicine
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 943-8131
GALILEO MEDICAL GROUP ME, PC
Family Medicine
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 588-0601
GALILEO MEDICAL GROUP GA, P.C.
Family Medicine
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 588-0601
DIANA CHIA CRNP
Nurse Practitioner (Primary Care)
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 294-3414
KRISTEN MARY PALLEO FNP-BC
Nurse Practitioner (Family)
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 294-3414
ARACELI THEODORE
Nurse Practitioner (Gerontology)
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 294-3414
CYNTHIA U INE FNP-C
Nurse Practitioner (Family)
632 BROADWAY PH 12
NEW YORK, NY 10012
New York County (347) 294-3414

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1205148632. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Peter Kim located?

Peter Kim practices at 632 Broadway Ph 12, New York, NY 10012. The listed phone number is (347) 294-3414.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Kim enrolled in Medicare?

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

What insurance does Peter Kim accept?

Health plans from Blue Cross and Blue Shield of NC list Peter Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.