MS. KYUNGSOOK BU FNP
NPI 1639794233
Nurse Practitioner - Family in Forest Hills, NY

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
10814 72ND AVE, FOREST HILLS, NY 11375(718) 520-8480(718) 261-7886 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kyungsook Bu Fnp NPPES

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

MS. KYUNGSOOK BU FNP (NPI 1639794233) is an individual family provider in Forest Hills, New York, licensed in New York (F342887-1) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639794233
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KYUNGSOOK BUCredential: FNP
Location Address10814 72ND AVEForest Hills, NY 11375-7081
Mailing Address112 Greenmeadow DrDeer Park, NY 11729-5606 · (212) 767-9527
Fax(718) 261-7886
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1639794233 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 · F342887-1
10814 72ND AVE, Forest Hills, NY 11375

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

Ms. Kyungsook Bu Fnp 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 ID8022557867
PECOS Enrollment IDI20240826000958
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

6

Medicare enrollment records show Kyungsook Bu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Sports Medicine
3274 STEINWAY ST
Astoria, NY 11103
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Pain Medicine
1160 TELLER AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 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 3

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.
197 services105 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.
53 services42 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
10814 72ND AVE, SUITE 4
FOREST HILLS, NY 11375
Chiropractor
10814 72ND AVE, 4TH FLOOR
FOREST HILLS, NY 11375
Physical Therapist
10814 72ND AVE, 4TH FLOOR
FOREST HILLS, NY 11375
Physical Medicine & Rehabilitation (Sports Medicine)
10814 72ND AVE, 4TH FLR
FOREST HILLS, NY 11375
Clinic/Center (Multi-Specialty)
10814 72ND AVE, 4TH FL
FOREST HILLS, NY 11375
Chiropractor
10814 72ND AVE, 4TH FLOOR
FOREST HILLS, NY 11375
Physical Therapist
10814 72ND AVE
FOREST HILLS, NY 11375
Nurse Practitioner (Adult Health)
10814 72ND AVE
FOREST HILLS, NY 11375

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 Kyungsook Bu's NPI number?

The NPI number for Kyungsook Bu is 1639794233. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Kyungsook Bu located?

Kyungsook Bu practices at 10814 72nd Ave, Forest Hills, NY 11375. The listed phone number is (718) 520-8480.

What is Kyungsook Bu's specialty?

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

Is Kyungsook Bu enrolled in Medicare?

Yes. Kyungsook Bu 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 Kyungsook Bu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyungsook Bu reassigns Medicare benefits to 6 organizations: Essen Medical Associates,pc (Jamaica, NY), Health Wellness Medical Astoria PLLC (Astoria, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), Py Medical PLLC (Bronx, NY) and 1 more organization, listed in the Medicare section above. 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 Kyungsook Bu'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 Kyungsook Bu was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.