ELLY JINOK KIM
NPI 1700232675
Nurse Practitioner - Family in Bronx, NY
About Elly Jinok Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLY JINOK KIM (NPI 1700232675) is an individual family provider in Bronx, New York, licensed in New York (F340386-1) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
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 and accepts Medicare assignment
Elly Jinok Kim 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 Elly Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 30 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10458 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10458
BRONX, NY 10458
BRONX, NY 10458
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 Elly Kim's NPI number?
The NPI number for Elly Kim is 1700232675. It was assigned to this individual provider in the NPPES registry on May 10, 2016.
Where is Elly Kim located?
Elly Kim practices at 260 East 188th Street, Bronx, NY 10458. The listed phone number is (718) 618-8365.
What is Elly Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elly Kim enrolled in Medicare?
Yes. Elly 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 Elly Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elly Kim reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Yes Wellness PA (Hoboken, NJ). 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 Elly 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 Elly Kim was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Elly Jinok Kim · NPI 1700232675
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since May 10, 2016.
## Identity
- **NPI:** 1700232675 (Entity type: Individual)
- **Enumerated:** May 10, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F340386-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 EAST 188TH STREET, Bronx, NY 10458-3817
- **Phone:** (718) 618-8365
## 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): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Yes Wellness PA (NPI 1730656463, Hoboken, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1700232675) · Data from the CMS NPPES public registry.