1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

GAYOUNG KIM
NPI 1205474467
Nurse Practitioner - Family in New York, NY

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment
5041 BROADWAY, 2ND FLOOR, NEW YORK, NY 10034(646) 869-1601(646) 690-9992 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Jun 23, 2023, Dec 18, 2019 (3 updates tracked since 2019).

About Gayoung Kim NPPES

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

GAYOUNG KIM (NPI 1205474467) is an individual family provider in New York, New York, licensed in New York (F344585) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205474467
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGAYOUNG KIM
Location Address5041 BROADWAY, 2ND FLOORNew York, NY 10034-2249
Mailing Address625 E Fordham RdBronx, NY 10458-5049
Phone(646) 869-1601
Fax(646) 690-9992
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 18, 2019
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1205474467 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 · F344585
5041 BROADWAY, New York, NY 10034
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Gayoung Kim 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 ID8224429063
PECOS Enrollment IDI20220105000728
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.

Areas of Expertise CMS Part B claims

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.
34 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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 3

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

LINDEN EYE CARE INC
Optometrist
5041 BROADWAY
NEW YORK, NY 10034
New York County (646) 869-2144
HISPANIC MEDICAL HEALTH P.C.
Family Medicine
5041 BROADWAY
NEW YORK, NY 10034
New York County (917) 557-5510
MEDALLIANCE MEDICAL HEALTH SERVICES
Clinic/Center (Multi-Specialty)
5041 BROADWAY
NEW YORK, NY 10034
New York County (646) 869-2144

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 Gayoung Kim's NPI number?

The NPI number for Gayoung Kim is 1205474467. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Gayoung Kim located?

Gayoung Kim practices at 5041 Broadway 2nd Floor, New York, NY 10034. The listed phone number is (646) 869-1601.

What is Gayoung Kim's specialty?

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

Is Gayoung Kim enrolled in Medicare?

Yes. Gayoung 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.

When was this NPI record last updated?

The NPPES record for Gayoung Kim was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.