DR. SARA KIM D.M.D.
NPI 1245418268
Dentist - Endodontics in New York, NY

Active since January 31, 2008Opted out of Medicare · through May 18, 2028
119 W 57TH ST, SUITE 700, NEW YORK, NY 10019(212) 582-8161(212) 315-5160 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sara Kim D.m.d. NPPES

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

DR. SARA KIM D.M.D. (NPI 1245418268) is an individual endodontics provider in New York, New York, licensed in New York (052779) and active in the NPI registry since January 2008. She has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245418268
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. SARA KIMCredential: D.M.D.
Location Address119 W 57TH ST, SUITE 700New York, NY 10019-2303
Mailing Address119 W 57th St, Suite 700New York, NY 10019-2303 · (212) 582-8161 · Fax (212) 315-5160
Fax(212) 315-5160
Sole ProprietorYes
Enumeration DateJanuary 31, 2008
Last NPPES UpdateJuly 8, 2008
NPI 1245418268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in NY · 052779
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
119 W 57TH ST, New York, NY 10019

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sara Kim D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2016 through May 18, 2028.

Opt-Out Effective DateMay 18, 2016
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

Counselor
119 W 57TH ST, SUITE 1100
NEW YORK, NY 10019
Dentist (Endodontics)
119 W 57TH ST, SUITE 700
NEW YORK, NY 10019
Clinic/Center (Medical Specialty)
119 W 57TH ST, SUITE 212
NEW YORK, NY 10019
Social Worker (Clinical)
119 W 57TH ST, SUITE 720
NEW YORK, NY 10019
Social Worker (Clinical)
119 W 57TH ST
NEW YORK, NY 10019
Chiropractor
119 W 57TH ST, SUITE 712
NEW YORK, NY 10019
Chiropractor
119 W 57TH ST
NEW YORK, NY 10019
Dentist (Oral and Maxillofacial Surgery)
119 W 57TH ST, SUITE 914
NEW YORK, NY 10019

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 Sara Kim's NPI number?

The NPI number for Sara Kim is 1245418268. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Sara Kim located?

Sara Kim practices at 119 W 57th St Suite 700, New York, NY 10019. The listed phone number is (212) 582-8161.

What is Sara Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Sara Kim enrolled in Medicare?

No. Sara Kim has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sara Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Sara 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 Sara Kim was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.