SOO-KEUN SEAN KIM DMD, MD
NPI 1316434947
Dentist in Purchase, NY
About Soo-keun Sean Kim Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOO-KEUN SEAN KIM DMD, MD (NPI 1316434947) is an individual dentist in Purchase, New York, licensed in New York (064594) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Great Neck, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Soo-keun Sean Kim Dmd, 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.
Medicare Billing Reassignment
Medicare enrollment records show Soo-keun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10457
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
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 10577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PURCHASE, NY 10577
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 Soo-keun Kim's NPI number?
The NPI number for Soo-keun Kim is 1316434947. It was assigned to this individual provider in the NPPES registry on April 19, 2018.
Where is Soo-keun Kim located?
Soo-keun Kim practices at 2975 Westchester Ave Ste G02, Purchase, NY 10577. The listed phone number is (914) 251-0313.
What is Soo-keun Kim's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Soo-keun Kim enrolled in Medicare?
Yes. Soo-keun 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.
Which organization bills Medicare for Soo-keun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soo-keun Kim reassigns Medicare benefits to St. Barnabas Hospital (Bronx, 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 Soo-keun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soo-keun Kim accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Soo-keun 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 Soo-keun Kim was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Soo-Keun Sean Kim, DMD, MD · NPI 1316434947
Dentist provider in Purchase, New York. Individual provider, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1316434947 (Entity type: Individual)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 064594 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2975 WESTCHESTER AVE STE G02, Purchase, NY 10577-2500
- **Phone:** (914) 251-0313
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Barnabas Hospital (NPI 1477228971, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316434947) · Data from the CMS NPPES public registry.