DR. PHILLIP KIM M.D., M.B.A.
NPI 1336535202
Surgery in New York, NY
About Dr. Phillip Kim M.d., M.b.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILLIP KIM M.D., M.B.A. (NPI 1336535202) is an individual surgery provider in New York, New York, licensed in California (A158522) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Harvard Medical School (2015).
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
Dr. Phillip Kim M.d., M.b.a. 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 Reassignments
4Medicare enrollment records show Phillip Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Phillip Kim's NPI number?
The NPI number for Phillip Kim is 1336535202. It was assigned to this individual provider in the NPPES registry on April 7, 2015.
Where is Phillip Kim located?
Phillip Kim practices at 177 Ft Washingtn Ave # 7gs-313, New York, NY 10032. The listed phone number is (212) 305-3038.
What is Phillip Kim's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Phillip Kim enrolled in Medicare?
Yes. Phillip 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 organizations bill Medicare for Phillip Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Kim reassigns Medicare benefits to 4 organizations: Windham Community Memorial Hospital, Inc. (Willimantic, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Hospital (Hartford, CT) and William W Backus Hospital (Norwich, CT). 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 Phillip Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Kim accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield and Oscar Health list Phillip 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 Phillip Kim was last updated on September 3, 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.
# Dr. Phillip Kim, M.D., M.B.A. · NPI 1336535202
Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1336535202 (Entity type: Individual)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A158522 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 177 FT WASHINGTN AVE # 7GS-313, New York, NY 10032-3733
- **Phone:** (212) 305-3038
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Hartford Hospital (NPI 1407806391, Hartford, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2015
## Record status
- **NPPES last updated:** September 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336535202) · Data from the CMS NPPES public registry.