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MIN JI KIM
NPI 1225766256
Pediatrics in Brooklyn, NY

Active since August 09, 2022PECOS Enrolled
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Aug 9, 2022 (2 updates tracked since 2022).

About Min Ji Kim NPPES

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

MIN JI KIM (NPI 1225766256) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (340524) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225766256
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMIN JI KIM
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address1 Brookdale PkazaBrooklyn, NY 11212
Phone(718) 240-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 9, 2022
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1225766256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 340524
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 BROOKDALE PLZ, Brooklyn, NY 11212
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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 (PECOS)

Min Ji Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678067840
PECOS Enrollment IDI20251215002209
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 Reassignment

Medicare enrollment records show Min Ji Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interfaith Professional Physician Services, P.C.
2.1 mi
Surgery
1545 ATLANTIC AVENUE, FACULTY PRACTICE
Brooklyn, NY 11213
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Interfaith Professional Physician Services PC
  • 635 clinicians in this Medicare group
NPI 1457643991 (718) 240-8352

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11212 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

MADI LINDAUER MD
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-5000
DR. CAMERON MANCHESTER MD
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (806) 341-0428
DR. ENID NAAMOMO OTOO DO
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-7225
NAYAN DOOBAY STUDENT
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-6205
COLBY VUONG
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-6552
MONA ROSENZWEIG
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-5000
VANESSA DE DANZINE PA
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212
Kings County (718) 240-5180
DR. MARTHEL PIERRE-ANTOINE DODARD M.D.
Personal Emergency Response Attendant
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Kings County (718) 240-5000

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 Min Ji Kim's NPI number?

The NPI number for Min Ji Kim is 1225766256. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Min Ji Kim located?

Min Ji Kim practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Min Ji Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Min Ji Kim enrolled in Medicare?

Yes. Min Ji Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Min Ji Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Min Ji Kim reassigns Medicare benefits to Interfaith Professional Physician Services, P.C. (Brooklyn, NY). The 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 Min Ji Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Min Ji Kim was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.