MRS. KYUNGSOOK KIM NURSE PRACTITIONER
NPI 1639457237
Nurse Practitioner - Family in Bronx, NY

Q: What is Kyungsook Kim's NPI number?

The NPI number for Kyungsook Kim is 1639457237. It was assigned to this individual provider in the NPPES registry on July 30, 2011.

Q: What is Kyungsook Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyungsook Kim was last updated on December 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2011PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kyungsook Kim Nurse Practitioner NPPES

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

MRS. KYUNGSOOK KIM NURSE PRACTITIONER (NPI 1639457237) is an individual family provider in Bronx, New York, licensed in New York (F336449) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639457237

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KYUNGSOOK KIMCredential: NURSE PRACTITIONER

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (718) 795-4394

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 30, 2011

Last NPPES UpdateDecember 1, 2015

✔ NPI 1639457237 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

License✔ Licensed in NY · F336449

2015 GRAND CONCOURSE, Bronx, NY 10453

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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

Mrs. Kyungsook Kim Nurse Practitioner 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 ID6507161544

PECOS Enrollment IDI20160229002004

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.

Areas of Expertise CMS Part B claims 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

58 services22 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

31 services15 patients

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.

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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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)