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JUNG KIM M.D.
NPI 1366432460
Anesthesiology in New York, NY

Active since October 28, 2005PECOS Enrolled
550 1ST AVE, RUSK 607, NEW YORK, NY 10016(212) 263-5072 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jung Kim M.d. NPPES

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

JUNG KIM M.D. (NPI 1366432460) is an individual anesthesiology provider in New York, New York, licensed in New York (191520) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366432460
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJUNG KIMCredential: M.D.
Location Address550 1ST AVE, RUSK 607New York, NY 10016-6402
Mailing Address550 1st Ave, Rusk 607New York, NY 10016-6402 · (212) 263-5072
Phone(212) 263-5072
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateApril 2, 2015
✔ NPI 1366432460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 191520
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
550 1ST AVE, New York, NY 10016
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Other Identifiers 3

Medicare UPING037722NY
Medicare ID-Type Unspecified21G011NY
Medicaid02111728NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jung Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
Same address
Dermatology
550 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 1,074 clinicians in this Medicare group
NPI 1114121928 (212) 263-8243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Jung Kim's NPI number?

The NPI number for Jung Kim is 1366432460. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Jung Kim located?

Jung Kim practices at 550 1st Ave Rusk 607, New York, NY 10016. The listed phone number is (212) 263-5072.

What is Jung Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jung Kim enrolled in Medicare?

Yes. Jung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jung Kim reassigns Medicare benefits to New York University (New York, 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 Jung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jung Kim was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.