EDEN KIM
NPI 1477969269
Emergency Medicine in Brooklyn, NY
About Eden Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDEN KIM (NPI 1477969269) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (289581) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Syracuse.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eden Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
13Medicare enrollment records show Eden Kim reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: State Of New York Comptrollers Office
- 67 clinicians in this Medicare group
Brooklyn, NY 11203
- Reassigned Medicare billing, New York enrollment
- 63 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
Smithtown, NY 11787
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Siena Emergency Medical Services PC
- 55 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Port Emergency Medical Services PC
- 90 clinicians in this Medicare group
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 528 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Emergency Care Services Of New York PC
- 240 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 195 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11203 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Eden Kim's NPI number?
The NPI number for Eden Kim is 1477969269. It was assigned to this individual provider in the NPPES registry on July 1, 2014.
Where is Eden Kim located?
Eden Kim practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3318.
What is Eden Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Eden Kim enrolled in Medicare?
Yes. Eden Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Eden Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eden Kim reassigns Medicare benefits to 13 organizations: Suny Health Science Center At Bklyn (Brooklyn, NY), University Hospital Of Brooklyn Suny Downstate Health Sciences Univers (Brooklyn, NY), Brookdale Hospital Medical Center (Brooklyn, NY), Optum Urgent Care, PLLC (Jericho, NY), Siena Emergency Medical Services, P.C. (Smithtown, NY) and 8 more organizations, listed in the Medicare section above. 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 Eden 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 Eden Kim was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Eden Kim · NPI 1477969269
Emergency Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since July 1, 2014.
## Identity
- **NPI:** 1477969269 (Entity type: Individual)
- **Enumerated:** July 1, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 289581 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203
- **Phone:** (718) 245-3318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Suny Health Science Center At Bklyn (NPI 1588077994, Brooklyn, NY); University Hospital Of Brooklyn Suny Downstate Health Sciences Univers (NPI 1740853340, Brooklyn, NY); Brookdale Hospital Medical Center (NPI 1720028772, Brooklyn, NY); Optum Urgent Care, PLLC (NPI 1285975797, Jericho, NY); Siena Emergency Medical Services, P.C. (NPI 1356507099, Smithtown, NY); and 8 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1477969269) · Data from the CMS NPPES public registry.