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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JULIE MINJAE KIM MD
NPI 1700464385
Internal Medicine - Endocrinology, Diabetes & Metabolism in Stony Brook, NY

Active since April 01, 2021PECOS Enrolled
101 NICHOLLS ROAD, STONY BROOK, NY 11794(631) 444-4630 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 21, 2026, Aug 28, 2023, Apr 1, 2021 (3 updates tracked since 2021).

About Julie Minjae Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE MINJAE KIM MD (NPI 1700464385) is an individual endocrinology, diabetes & metabolism provider in Stony Brook, New York, licensed in New York (330981) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700464385
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJULIE MINJAE KIMCredential: MD
Location Address101 NICHOLLS ROADStony Brook, NY 11794-0001
Mailing Address101 Nicholls RdStony Brook, NY 11794-0001 · (631) 444-5220
Phone(631) 444-4630
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1700464385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 330981
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 NICHOLLS ROAD, Stony Brook, NY 11794
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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 (PECOS)

Julie Minjae Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOCASTA DIMITRA MARSHALL
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
DR. JODI RIGGS DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-7692
MISS JENNIFER LEE KOTT NP
Nurse Practitioner (Acute Care)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3575
ELIAS KU
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
KELLY ANNE VAN NESS
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-4700
DR. NICHOLAS DANIEL KORKOSZ DO
Family Medicine
101 NICHOLLS ROAD, HSC LEVEL 3
STONY BROOK, NY 11794
Suffolk County (631) 444-5858
HATICE KURUCA FNP
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 278-5308
HIBBAH BINT NABEEL MD
Pathology (Anatomic Pathology & Clinical Pathology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-2224

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 Julie Kim's NPI number?

The NPI number for Julie Kim is 1700464385. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Julie Kim located?

Julie Kim practices at 101 Nicholls Road, Stony Brook, NY 11794. The listed phone number is (631) 444-4630.

What is Julie Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Julie Kim enrolled in Medicare?

Yes. Julie Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Julie Kim was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.