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MR. MICHAEL JAE WOO KIM NP
NPI 1578955019
Nurse Practitioner - Family in Bronx, NY

Active since February 20, 2015PECOS EnrolledAccepts Medicare Assignment
85 W BURNSIDE AVE, BRONX, NY 10453(718) 716-4400(718) 228-7471 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael Jae Woo Kim Np NPPES

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

MR. MICHAEL JAE WOO KIM NP (NPI 1578955019) is an individual family provider in Bronx, New York, licensed in New York (F341255-1) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578955019
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL JAE WOO KIMCredential: NP
Location Address85 W BURNSIDE AVEBronx, NY 10453-4015
Mailing Address85 W Burnside AveBronx, NY 10453-4015 · (718) 716-4400 · Fax (718) 228-7471
Phone(718) 716-4400
Fax(718) 228-7471
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 20, 2015
Last NPPES UpdateJanuary 4, 2017
✔ NPI 1578955019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F341255-1✔ Licensed in CA · NP95002352✔ Licensed in WA · 60528082
85 W BURNSIDE AVE, Bronx, NY 10453
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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

Mr. Michael Jae Woo Kim Np 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.

PECOS PAC ID7214218064
PECOS Enrollment IDI20170110001546
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morris Heights Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
85 W BURNSIDE AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
NPI 1184694291 (718) 716-4400
William F Ryan Community Health Center Inc
1.4 mi
Federally Qualified Health Center (FQHC)
154 WADSWORTH AVENUE
New York, NY 10033
  • Reassigned Medicare billing, New York enrollment
  • 186 clinicians in this Medicare group
NPI 1265046940 (212) 749-1820

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 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SIMA ALEXANDRA LICHTSCHEIN
Social Worker (Clinical)
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1270
CHIARA NOELLE LONDONO MD
Internal Medicine (Geriatric Medicine)
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
KIARA MEJIA DE JESUS
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
DANIEL ROBERT PILOSOV DO
Family Medicine
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1232
RACHEL MACKOFF LMSW
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
NATHALY ORTEGA RN
Registered Nurse
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 679-8179
MARIA ANGELA ABREU LMSW
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
MARIA ISABEL LABOY
Dental Hygienist
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1270

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1578955019. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Michael Kim located?

Michael Kim practices at 85 W Burnside Ave, Bronx, NY 10453. The listed phone number is (718) 716-4400.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Kim enrolled in Medicare?

Yes. Michael 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 Michael Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kim reassigns Medicare benefits to 2 organizations: Morris Heights Health Center, Inc. (Bronx, NY) and William F Ryan Community Health Center Inc (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 Michael 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 Michael Kim was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.