RENITA KIM
NPI 1619331618
Obstetrics & Gynecology - Gynecology in Astoria, NY
About Renita Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENITA KIM (NPI 1619331618) is an individual gynecology provider in Astoria, New York, licensed in New York (304021) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Renita 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.
Medicare Billing Reassignments
2Medicare enrollment records show Renita Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 134 clinicians in this Medicare group
Wantagh, NY 11793
- Reassigned Medicare billing, New York enrollment
- 572 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11102 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 8
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 Renita Kim's NPI number?
The NPI number for Renita Kim is 1619331618. It was assigned to this individual provider in the NPPES registry on April 6, 2016.
Where is Renita Kim located?
Renita Kim practices at 2520 30th Ave Fl 4, Astoria, NY 11102. The listed phone number is (718) 808-7777.
What is Renita Kim's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Renita Kim enrolled in Medicare?
Yes. Renita 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 Renita Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renita Kim reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and North Shore Medical Group Of The Mount Sinai School Of Medicine (Wantagh, 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 Renita Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Renita Kim affiliated with any hospitals?
According to CMS data, Renita Kim is affiliated with Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Renita Kim was last updated on May 18, 2022. 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.
# Renita Kim · NPI 1619331618
Gynecology physician in Astoria, New York. Individual provider, active in the CMS NPPES registry since April 6, 2016.
## Identity
- **NPI:** 1619331618 (Entity type: Individual)
- **Enumerated:** April 6, 2016
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 304021 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2520 30TH AVE FL 4, Astoria, NY 11102-2448
- **Phone:** (718) 808-7777
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Icahn School Of Medicine At Mount Sinai (NPI 1124392212, New York, NY); North Shore Medical Group Of The Mount Sinai School Of Medicine (NPI 1992417323, Wantagh, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2016
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619331618) · Data from the CMS NPPES public registry.