DR. GIL SOO KIM MD
NPI 1568639995
Internal Medicine in Huntington, NY
About Dr. Gil Soo Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GIL SOO KIM MD (NPI 1568639995) is an individual internal medicine provider in Huntington, New York, licensed in New York (246955) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
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 and accepts Medicare assignment
Dr. Gil Soo Kim Md 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 Reassignment
Medicare enrollment records show Gil Soo Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11743 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON, NY 11743
HUNTINGTON, NY 11743
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 Gil Soo Kim's NPI number?
The NPI number for Gil Soo Kim is 1568639995. It was assigned to this individual provider in the NPPES registry on May 14, 2008.
Where is Gil Soo Kim located?
Gil Soo Kim practices at 475 New York Ave, Huntington, NY 11743. The listed phone number is (631) 673-9422.
What is Gil Soo Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gil Soo Kim enrolled in Medicare?
Yes. Gil Soo 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 organization bills Medicare for Gil Soo Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gil Soo Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Gil Soo 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 Gil Soo Kim was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Gil Soo Kim, MD · NPI 1568639995
Internal Medicine physician in Huntington, New York. Individual provider, active in the CMS NPPES registry since May 14, 2008.
## Identity
- **NPI:** 1568639995 (Entity type: Individual)
- **Enumerated:** May 14, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 246955 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 NEW YORK AVE, Huntington, NY 11743-3441
- **Phone:** (631) 673-9422 · **Fax:** (631) 673-9426
## 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:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1568639995) · Data from the CMS NPPES public registry.