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DONG UK KIM DPM
NPI 1720475890
Podiatrist in New York, NY

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
291 3RD AVE, NEW YORK, NY 10010(212) 995-1500(212) 995-1631 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2020, May 20, 2019, Apr 1, 2016 (3 updates tracked since 2016).

About Dong Uk Kim Dpm NPPES

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

DONG UK KIM DPM (NPI 1720475890) is an individual podiatrist in New York, New York, licensed in New York (006900) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains a secondary practice location in Maspeth.

NPPES Registry Identity

NPI1720475890
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDONG UK KIMCredential: DPM
Location Address291 3RD AVENew York, NY 10010-5502
Mailing Address14477 Roosevelt Ave Apt 4dFlushing, NY 11354-6271
Phone(212) 995-1500
Fax(212) 995-1631
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2015
Enumeration DateApril 16, 2015
Last NPPES UpdateJanuary 2, 20203 updates tracked since enumeration
✔ NPI 1720475890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · 006900
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
291 3RD AVE, New York, NY 10010
Open in Google Maps ↗

Secondary Practice Location 1

Location 15901 69th StMaspeth, NY 11378-2946 · Phone (718) 639-3338 · Fax (718) 639-5184

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

Dong Uk Kim Dpm 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 ID7214271568
PECOS Enrollment IDI20190716002280
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Urgent Care, PLLC
24 mi
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group
NPI 1285975797 (516) 622-6000
Optum Medical Care, P.C.
34 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
566 services240 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
147 services147 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
81 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services14 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
31 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

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 Dong Kim's NPI number?

The NPI number for Dong Kim is 1720475890. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Dong Kim located?

Dong Kim practices at 291 3rd Ave, New York, NY 10010. The listed phone number is (212) 995-1500.

What is Dong Kim's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dong Kim enrolled in Medicare?

Yes. Dong 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 Dong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dong Kim reassigns Medicare benefits to 2 organizations: Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Dong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dong Kim affiliated with any hospitals?

According to CMS data, Dong Kim is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Dong Kim was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.