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SAMUEL K KIM MD
NPI 1285122168
Internal Medicine - Gastroenterology in Astoria, NY

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
2510 30TH AVE, ASTORIA, NY 11102(718) 932-1000 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Sep 27, 2021, Apr 26, 2018 (3 updates tracked since 2018).

About Samuel K Kim Md NPPES

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

SAMUEL K KIM MD (NPI 1285122168) is an individual gastroenterology provider in Astoria, New York, licensed in New York (330444) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285122168
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSAMUEL K KIMCredential: MD
Location Address2510 30TH AVEAstoria, NY 11102-2418
Mailing Address2510 30th AveAstoria, NY 11102-2418 · (718) 932-1000
Phone(718) 932-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1285122168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 330444
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2510 30TH AVE, Astoria, NY 11102
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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

Samuel K Kim Md 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 ID2365793056
PECOS Enrollment IDI20240711001836
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

ASIF MURSHED CHOWDHURY PA-C
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAMILIA AIT BELKACEM PA
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (347) 862-8380
NIA GRANT PA
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
JEAN CLAUDE BAYLE MD
Surgery
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 267-4245
JENNIFER WANG
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4262
MR. MIYASEKI SAKAEDA PARAGAS NP
Nurse Practitioner (Family)
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 808-7790
DR. MARIAM NOOR
Pharmacist
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAREN XU RPH
Pharmacist
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4267

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 Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1285122168. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Samuel Kim located?

Samuel Kim practices at 2510 30th Ave, Astoria, NY 11102. The listed phone number is (718) 932-1000.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Samuel Kim enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Kim affiliated with any hospitals?

According to CMS data, Samuel Kim is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on June 17, 2024. 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.