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FAITH SHINNA KIM MD
NPI 1245641943
Pediatrics - Neonatal-Perinatal Medicine in New York, NY

Active since May 15, 2014PECOS Enrolled
3959 BROADWAY PH 17, NEW YORK, NY 10032(757) 892-4018 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Jun 29, 2021 (2 updates tracked since 2021).

About Faith Shinna Kim Md NPPES

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

FAITH SHINNA KIM MD (NPI 1245641943) is an individual neonatal-perinatal medicine provider in New York, New York, licensed in New York (309522-01) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245641943
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameFAITH SHINNA KIMCredential: MD
Location Address3959 BROADWAY PH 17New York, NY 10032-1559
Mailing Address800 Park Ave Apt 3009Fort Lee, NJ 07024-3780 · (757) 892-4018
Phone(757) 892-4018
Sole ProprietorNo
Enumeration DateMay 15, 2014
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1245641943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in NY · 309522-01✔ Licensed in PA · MD460768
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3959 BROADWAY PH 17, New York, NY 10032
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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)

Faith Shinna Kim Md 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.

Medicare Billing Reassignments

2

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

Trustees Of Columbia University In The City Of New York
0.1 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876
Lawrence Medical Associates, PC
8.9 mi
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
NPI 1497260806 (914) 787-1000

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

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 Faith Kim's NPI number?

The NPI number for Faith Kim is 1245641943. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Faith Kim located?

Faith Kim practices at 3959 Broadway Ph 17, New York, NY 10032. The listed phone number is (757) 892-4018.

What is Faith Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Faith Kim enrolled in Medicare?

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

Which organizations bill Medicare for Faith Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faith Kim reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Lawrence Medical Associates, PC (Bronxville, 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 Faith 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 Faith Kim was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.