SPENCER DOBIN KIM
NPI 1487114567
Emergency Medicine in Brooklyn, NY
About Spencer Dobin Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER DOBIN KIM (NPI 1487114567) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (321666) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of State University Of New York Downstate Medical Center (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Spencer Dobin Kim 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.
Medicare Billing Reassignments
2Medicare enrollment records show Spencer Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Brooklyn Health
Acute Care Hospitals · Brooklyn, NYPhysician 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.
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 Spencer Kim's NPI number?
The NPI number for Spencer Kim is 1487114567. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Spencer Kim located?
Spencer Kim practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-6315.
What is Spencer Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Spencer Kim enrolled in Medicare?
Yes. Spencer 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.
Which organizations bill Medicare for Spencer Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Kim reassigns Medicare benefits to 2 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Physician Affiliate Group Of New York PC (New York, NY). 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 Spencer Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Spencer Kim affiliated with any hospitals?
According to CMS data, Spencer Kim is affiliated with South Brooklyn Health.
When was this NPI record last updated?
The NPPES record for Spencer Kim was last updated on June 29, 2023. 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.
# Spencer Dobin Kim · NPI 1487114567
Emergency Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1487114567 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 321666 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203-2012
- **Phone:** (718) 270-6315
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2019
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1487114567) · Data from the CMS NPPES public registry.