HYESUNG KIM MD
NPI 1467021683
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 22, 2021PECOS Enrolled
3424 KOSSUTH AVE, BRONX, NY 10467(718) 519-3817 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hyesung Kim Md NPPES

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

HYESUNG KIM MD (NPI 1467021683) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467021683
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHYESUNG KIMCredential: MD
Location Address3424 KOSSUTH AVEBronx, NY 10467-2489
Mailing Address3424 Kossuth AveBronx, NY 10467-2489 · (718) 519-3817
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1467021683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3424 KOSSUTH AVE, Bronx, NY 10467

Other Names 1

Other Name (5)Hye Sung Kim Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hyesung Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052899879
PECOS Enrollment IDI20260202002181
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.

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.

Pharmacist
3424 KOSSUTH AVE
BRONX, NY 10467
Pharmacist
3424 KOSSUTH AVE
BRONX, NY 10467
Art Therapist
3424 KOSSUTH AVE
BRONX, NY 10467
General Acute Care Hospital
3424 KOSSUTH AVE
BRONX, NY 10467
Registered Nurse (Diabetes Educator)
3424 KOSSUTH AVE
BRONX, NY 10467
Physician Assistant (Medical)
3424 KOSSUTH AVE
BRONX, NY 10467
Social Worker (Clinical)
3424 KOSSUTH AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3424 KOSSUTH AVE
BRONX, NY 10467

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 Hyesung Kim's NPI number?

The NPI number for Hyesung Kim is 1467021683. It was assigned to this individual provider in the NPPES registry on June 22, 2021. The provider is also known as Hye Sung Kim MD.

Where is Hyesung Kim located?

Hyesung Kim practices at 3424 Kossuth Ave, Bronx, NY 10467. The listed phone number is (718) 519-3817.

What is Hyesung Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hyesung Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hyesung Kim was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.