DR. PHILLIP KIM M.D., M.B.A.
NPI 1336535202
Surgery in New York, NY

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 10032(212) 305-3038 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Feb 9, 2022, Jan 20, 2022 (3 updates tracked since 2022).

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

NPI1336535202
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PHILLIP KIMCredential: M.D., M.B.A.
Location Address177 FT WASHINGTN AVE # 7GS-313New York, NY 10032-3733
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337 · (860) 972-9033
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2015
Enumeration DateApril 7, 2015
Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1336535202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A158522
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.
177 FT WASHINGTN AVE # 7GS-313, New York, NY 10032

Secondary Practice Location 1

Location 169 Jesse Hill Jr. Drive SE, Glenn Memorial Building, 3rd FloorAtlanta, GA 30303 · Phone (404) 251-8915 · Fax (404) 523-3931

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. 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.

PECOS PAC ID6002299567
PECOS Enrollment IDI20240910001728
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.

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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE # 7GS-313
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.

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 23 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.