SE CHAN KIM MD
NPI 1699288878
Anesthesiology in Baltimore, MD
About Se Chan Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SE CHAN KIM MD (NPI 1699288878) is an individual anesthesiology provider in Baltimore, Maryland, licensed in Maryland (D48428) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2000).
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)
Se Chan Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Se Chan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYOther Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Se Chan Kim's NPI number?
The NPI number for Se Chan Kim is 1699288878. It was assigned to this individual provider in the NPPES registry on November 10, 2017.
Where is Se Chan Kim located?
Se Chan Kim practices at 22 S Greene St Fl 11, Baltimore, MD 21201. The listed phone number is (667) 214-1616.
What is Se Chan Kim's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Se Chan Kim enrolled in Medicare?
Yes. Se Chan Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Se Chan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Se Chan Kim reassigns Medicare benefits to Montefiore Medical Center (New York, NY). 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 Se Chan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Se Chan Kim affiliated with any hospitals?
According to CMS data, Se Chan Kim is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Se Chan Kim was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Se Chan Kim, MD · NPI 1699288878
Anesthesiology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 10, 2017.
## Identity
- **NPI:** 1699288878 (Entity type: Individual)
- **Enumerated:** November 10, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D48428 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST FL 11, Baltimore, MD 21201-1544
- **Phone:** (667) 214-1616 · **Fax:** (410) 328-1674
## 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:** Montefiore Medical Center (NPI 1760288278, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** November 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1699288878) · Data from the CMS NPPES public registry.