SUNGSOO KIM MD
NPI 1639798689
Internal Medicine - Nephrology in Great Neck, NY
About Sungsoo Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNGSOO KIM MD (NPI 1639798689) is an individual nephrology provider in Great Neck, New York, licensed in New York (336812) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (2019).
NPPES Registry Identity
Specialties & Licenses
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
Sungsoo 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11021 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREAT NECK, NY 11021
GREAT NECK, NY 11021
GREAT NECK, NY 11021
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 Sungsoo Kim's NPI number?
The NPI number for Sungsoo Kim is 1639798689. It was assigned to this individual provider in the NPPES registry on April 10, 2020.
Where is Sungsoo Kim located?
Sungsoo Kim practices at 100 Community Dr Fl 2, Great Neck, NY 11021. The listed phone number is (516) 465-8200.
What is Sungsoo Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Sungsoo Kim enrolled in Medicare?
Yes. Sungsoo 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.
Is Sungsoo Kim affiliated with any hospitals?
According to CMS data, Sungsoo Kim is affiliated with North Shore University Hospital.
When was this NPI record last updated?
The NPPES record for Sungsoo Kim was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sungsoo Kim, MD · NPI 1639798689
Nephrology physician in Great Neck, New York. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1639798689 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 336812 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 COMMUNITY DR FL 2, Great Neck, NY 11021-5501
- **Phone:** (516) 465-8200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York Downstate Medical Center, class of 2019
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639798689) · Data from the CMS NPPES public registry.