CAMILLE KIM
NPI 1497216527
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY
About Camille Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE KIM (NPI 1497216527) is an individual foot & ankle surgery provider in Brooklyn, New York, licensed in New York (007207) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camille Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Camille Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 Camille Kim's NPI number?
The NPI number for Camille Kim is 1497216527. It was assigned to this individual provider in the NPPES registry on March 29, 2019.
Where is Camille Kim located?
Camille Kim practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-6995.
What is Camille Kim's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Camille Kim enrolled in Medicare?
Yes. Camille Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Camille Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Kim reassigns Medicare benefits to Camille Kim DPM PLLC (New York, NY). The 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 Camille 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 Camille Kim was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Camille Kim · NPI 1497216527
Foot & Ankle Surgery provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 29, 2019.
## Identity
- **NPI:** 1497216527 (Entity type: Individual)
- **Enumerated:** March 29, 2019
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 007207 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 DEKALB AVE, Brooklyn, NY 11201-5425
- **Phone:** (718) 250-6995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Camille Kim DPM PLLC (NPI 1346190139, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Podiatric Medicine, class of 2019
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497216527) · Data from the CMS NPPES public registry.