DR. KIM DERESPINA M.D.
NPI 1497045546
Pediatrics - Pediatric Critical Care Medicine in Bronx, NY

Q: What is Kim Derespina's NPI number?

The NPI number for Kim Derespina is 1497045546. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Kim Derespina's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kim Derespina was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 11, 2011PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2000 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kim Derespina M.d. NPPES

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

DR. KIM DERESPINA M.D. (NPI 1497045546) is an individual pediatric critical care medicine provider in Bronx, New York, licensed in New York (273880) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497045546

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KIM DERESPINACredential: M.D.

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address3415 Bainbridge AveBronx, NY 10467-2403 · (718) 741-2000

Phone(718) 741-2000

Sole ProprietorNo

Enumeration DateApril 11, 2011

Last NPPES UpdateAugust 9, 2019

✔ NPI 1497045546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 273880

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 273880 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3415 BAINBRIDGE AVE, Bronx, NY 10467

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Derespina 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.

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)