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ELLY JINOK KIM
NPI 1700232675
Nurse Practitioner - Family in Bronx, NY

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
94.14/100
CMS Quality Rating
260 EAST 188TH STREET, BRONX, NY 10458(718) 618-8365 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2016, May 10, 2016 (2 updates tracked since 2016).

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

NPI1700232675
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLY JINOK KIM
Location Address260 EAST 188TH STREETBronx, NY 10458-3817
Mailing Address260 East 188th StreetBronx, NY 10458-3817 · (718) 618-8365
Phone(718) 618-8365
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateOctober 12, 20162 updates tracked since enumeration
✔ NPI 1700232675 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 · F340386-1
260 EAST 188TH STREET, Bronx, NY 10458
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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

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.

PECOS PAC ID446539647
PECOS Enrollment IDI20170519001074
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.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
740 services185 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
506 services132 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
154 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
35 services26 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
21 services21 patients

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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

94.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost73.83

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.

AZRA MANSOOR MD
Psychiatry & Neurology (Psychiatry)
260 EAST 188TH STREET, FORDHAM TREMENT CTR MENTAL HEA
BRONX, NY 10458
Bronx County (718) 960-0420
MS. MARIA DE JESUS VASQUEZ-RODRIGUEZ LCSW-R
Social Worker (Clinical)
260 EAST 188TH STREET
BRONX, NY 10458
Bronx County (718) 960-3205
MS. MARJORIS FERNANDEZ-URENA
Case Manager/Care Coordinator
260 EAST 188TH STREET
BRONX, NY 10458
Bronx County (718) 960-2000
UNION COMMUNITY HEALTH CTR
Clinic/Center (Mental Health (Including Community Mental Health Center))
260 EAST 188TH STREET, UNION COMMUNITY HEALTH
BRONX, NY 10458
Bronx County (718) 960-3817

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.

When was this NPI record last updated?

The NPPES record for Elly Kim was last updated on October 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.