MR. TAESOO KIM
NPI 1538428388
Physician Assistant - Medical in Brooklyn, NY
About Mr. Taesoo Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TAESOO KIM (NPI 1538428388) is an individual medical provider in Brooklyn, New York, licensed in New York (015595) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Taesoo 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.
Areas of Expertise CMS Part B claims
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Taesoo Kim's NPI number?
The NPI number for Taesoo Kim is 1538428388. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Taesoo Kim located?
Taesoo Kim practices at 1396 Myrtle Ave, Brooklyn, NY 11237. The listed phone number is (718) 878-4314.
What is Taesoo Kim's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Taesoo Kim enrolled in Medicare?
Yes. Taesoo 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.
When was this NPI record last updated?
The NPPES record for Taesoo Kim was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Taesoo Kim · NPI 1538428388
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1538428388 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 015595 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1396 MYRTLE AVE, Brooklyn, NY 11237-4513
- **Phone:** (718) 878-4314
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 16, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1538428388) · Data from the CMS NPPES public registry.