DAVID KIM
NPI 1760978050
Nurse Practitioner - Psychiatric/Mental Health in Buffalo, NY

Q: What is David Kim's NPI number?

The NPI number for David Kim is 1760978050. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is David Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for David Kim was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 10, 2018PECOS Enrolled

1050 NIAGARA ST, BUFFALO, NY 14213(716) 507-9134 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2025, Nov 16, 2022, Aug 30, 2018 and 1 more (4 updates tracked since 2018).

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About David Kim NPPES

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

DAVID KIM (NPI 1760978050) is an individual psychiatric/mental health provider in Buffalo, New York, licensed in New York (F404401) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760978050

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDAVID KIM

Location Address1050 NIAGARA STBuffalo, NY 14213-2001

Mailing Address1050 Niagara StBuffalo, NY 14213-2001 · (716) 507-9134

Phone(716) 507-9134

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 10, 2018

Last NPPES UpdateApril 11, 20254 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1760978050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F404401

Also ListedRegistered NurseTaxonomy 163W00000X · License 656210 (NY)

1050 NIAGARA ST, Buffalo, NY 14213

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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)

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

PECOS PAC ID6901271477

PECOS Enrollment IDI20230414001071

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 14213 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

ZOE SPYRALATOS

Nurse Practitioner (Psychiatric/Mental Health)