1. Home
  2. Directory
  3. New York
  4. Far Rockaway
  5. Surgery
  6. NPI Profile

DR. DMITRIY KIM D.O.
NPI 1295116432
Surgery in Far Rockaway, NY

Active since June 13, 2015PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(718) 869-7000 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 23, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Dr. Dmitriy Kim D.o. NPPES

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

DR. DMITRIY KIM D.O. (NPI 1295116432) is an individual surgery provider in Far Rockaway, New York, licensed in New York (291182) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St John's Episcopal Hospital At South Shore, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2015).

NPPES Registry Identity

NPI1295116432
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DMITRIY KIMCredential: D.O.
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address407 Beach 20th StFar Rockaway, NY 11691-3647 · (646) 319-7622
Phone(718) 869-7000
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2015
Enumeration DateJune 13, 2015
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1295116432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 291182
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
327 BEACH 19TH ST, Far Rockaway, NY 11691
Open in Google Maps ↗

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

Dr. Dmitriy Kim D.o. 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 ID8224373345
PECOS Enrollment IDI20211222000099
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.
53 services31 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.
48 services46 patients
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.
22 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.01
Promoting Interoperability96
Improvement Activities40
Cost39.58

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.

DANNIYA SAMUEL PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
DR. ADRIANO YASHAR MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7108
DR. VINEETA DAMINENI MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7248
SARAH DIANA SINGH
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ANTHONY JOSEPH PAGAN PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ST JOHN'S MEDICAL SERVICES PC
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7641
DANIEL JONATHAN WONG DPM
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ALYSSA CURCIO
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000

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 Dmitriy Kim's NPI number?

The NPI number for Dmitriy Kim is 1295116432. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Where is Dmitriy Kim located?

Dmitriy Kim practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (718) 869-7000.

What is Dmitriy Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dmitriy Kim enrolled in Medicare?

Yes. Dmitriy 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 Dmitriy Kim affiliated with any hospitals?

According to CMS data, Dmitriy Kim is affiliated with St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Dmitriy Kim was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.