DR. HEERYOUNG KIM MD
NPI 1639673403
Psychiatry & Neurology - Psychiatry in Bridgeport, CT
About Dr. Heeryoung Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEERYOUNG KIM MD (NPI 1639673403) is an individual psychiatry provider in Bridgeport, Connecticut, licensed in Connecticut (69467) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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. Heeryoung 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 Reassignments
2Medicare enrollment records show Heeryoung Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1760451041 (Connecticut)
- 166 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Connecticut enrollment
- 57 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 06604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGEPORT, CT 06604
BRIDGEPORT, CT 06604
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 Heeryoung Kim's NPI number?
The NPI number for Heeryoung Kim is 1639673403. It was assigned to this individual provider in the NPPES registry on March 19, 2018.
Where is Heeryoung Kim located?
Heeryoung Kim practices at 1000 Lafayette Blvd, Bridgeport, CT 06604. The listed phone number is (833) 351-8255.
What is Heeryoung Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Heeryoung Kim enrolled in Medicare?
Yes. Heeryoung 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 Heeryoung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heeryoung Kim reassigns Medicare benefits to 2 organizations: Middlesex Hospital (Middletown, CT) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Heeryoung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heeryoung Kim accept?
Health plans from Cigna Healthcare list Heeryoung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heeryoung Kim was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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. Heeryoung Kim, MD · NPI 1639673403
Psychiatry physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since March 19, 2018.
## Identity
- **NPI:** 1639673403 (Entity type: Individual)
- **Enumerated:** March 19, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 69467 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 LAFAYETTE BLVD, Bridgeport, CT 06604-4725
- **Phone:** (833) 351-8255
## 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): Middlesex Hospital (NPI 1760454334, Middletown, CT); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2018
## Record status
- **NPPES last updated:** June 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1639673403) · Data from the CMS NPPES public registry.