JESI KIM MD
NPI 1720615412
Radiology - Body Imaging in New York, NY
About Jesi Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESI KIM MD (NPI 1720615412) is an individual body imaging provider in New York, New York, licensed in New York (316159) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Harvard Medical School (2020).
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
Jesi Kim Md 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 Reassignment
Medicare enrollment records show Jesi Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10002
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 Jesi Kim's NPI number?
The NPI number for Jesi Kim is 1720615412. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Jesi Kim located?
Jesi Kim practices at 227 Madison St, New York, NY 10002. The listed phone number is (212) 238-7000.
What is Jesi Kim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.
Is Jesi Kim enrolled in Medicare?
Yes. Jesi 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 organization bills Medicare for Jesi Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesi Kim reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Jesi Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jesi Kim affiliated with any hospitals?
According to CMS data, Jesi Kim is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Jesi Kim was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jesi Kim, MD · NPI 1720615412
Body Imaging physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1720615412 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Radiology - Body Imaging · taxonomy 2085B0100X
- **State license:** 316159 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 227 MADISON ST, New York, NY 10002-7537
- **Phone:** (212) 238-7000
## 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:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2020
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720615412) · Data from the CMS NPPES public registry.