DR. ALEXANDER NAMHYUN KIM D.O.
NPI 1659714582
Family Medicine in Staten Island, NY
About Dr. Alexander Namhyun Kim D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDER NAMHYUN KIM D.O. (NPI 1659714582) is an individual family medicine provider in Staten Island, New York, licensed in New York (278707) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alexander Namhyun Kim D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexander Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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 10304 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10304
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 Alexander Kim's NPI number?
The NPI number for Alexander Kim is 1659714582. It was assigned to this individual provider in the NPPES registry on April 10, 2013.
Where is Alexander Kim located?
Alexander Kim practices at 1551 Richmond Rd 1A, Staten Island, NY 10304. The listed phone number is (718) 987-4891.
What is Alexander Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alexander Kim enrolled in Medicare?
Yes. Alexander Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexander Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Kim reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Alexander Kim'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 Alexander Kim was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Alexander Namhyun Kim, D.O. · NPI 1659714582
Family Medicine physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 10, 2013.
## Identity
- **NPI:** 1659714582 (Entity type: Individual)
- **Enumerated:** April 10, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 278707 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1551 RICHMOND RD, 1A, Staten Island, NY 10304-2313
- **Phone:** (718) 987-4891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659714582) · Data from the CMS NPPES public registry.