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KWON SOO KIM MD
NPI 1376064097
Internal Medicine - Nephrology in Philadelphia, PA

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
700 SPRUCE ST., SUITE 403, PHILADELPHIA, PA 19106(215) 829-8420(215) 829-8418 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Aug 11, 2022, Jul 3, 2017 (3 updates tracked since 2017).

About Kwon Soo Kim Md NPPES

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

KWON SOO KIM MD (NPI 1376064097) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD476584) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376064097
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKWON SOO KIMCredential: MD
Location Address700 SPRUCE ST., SUITE 403Philadelphia, PA 19106-5109
Mailing Address700 Spruce St., Suite 403Philadelphia, PA 19106-5109 · (215) 829-8420 · Fax (215) 829-8418
Phone(215) 829-8420
Fax(215) 829-8418
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 3, 2017
Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1376064097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD476584
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD476584 (PA)
700 SPRUCE ST., Philadelphia, PA 19106
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

Kwon Soo Kim 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.

PECOS PAC ID2668897752
PECOS Enrollment IDI20220927003345, I20250730004821
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 9

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.
206 services86 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
196 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
93 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services56 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
78 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

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 Kwon Soo Kim's NPI number?

The NPI number for Kwon Soo Kim is 1376064097. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Kwon Soo Kim located?

Kwon Soo Kim practices at 700 Spruce St. Suite 403, Philadelphia, PA 19106. The listed phone number is (215) 829-8420.

What is Kwon Soo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kwon Soo Kim enrolled in Medicare?

Yes. Kwon Soo 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 Kwon Soo Kim affiliated with any hospitals?

According to CMS data, Kwon Soo Kim is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Englewood Hospital And Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Kwon Soo Kim was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.