KS PODIATRY PC
NPI 1710220561
Podiatrist - Foot & Ankle Surgery in Bayside, NY
About Ks Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KS PODIATRY PC (NPI 1710220561) is a healthcare organization registered as a foot & ankle surgery in Bayside, New York and active in the NPI registry since March 2013. The organization lists Kwangsu Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ks Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ks Podiatry PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ks Podiatry PC's NPI number?
The NPI number for Ks Podiatry PC is 1710220561. It was assigned to this organization in the NPPES registry on March 30, 2013.
Where is Ks Podiatry PC located?
Ks Podiatry PC is located at 21909 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 229-9200.
What is Ks Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Ks Podiatry PC enrolled in Medicare?
Yes. Ks Podiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ks Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ks Podiatry PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ks Podiatry PC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Ks Podiatry Pc · NPI 1710220561
Foot & Ankle Surgery organization in Bayside, New York. Organization record, active in the CMS NPPES registry since March 30, 2013.
## Identity
- **NPI:** 1710220561 (Entity type: Organization)
- **Enumerated:** March 30, 2013
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Kwangsu Kim, PRESIDENT
## Practice location
- **Address:** 21909 NORTHERN BLVD, Bayside, NY 11361-3525
- **Phone:** (718) 229-9200 · **Fax:** (866) 668-7533
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1710220561) · Data from the CMS NPPES public registry.