SE HWA KIM
NPI 1790196129
Nurse Practitioner - Psychiatric/Mental Health in Flushing, NY

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
4230 160TH ST, FLUSHING, NY 11358(718) 309-0722 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Se Hwa Kim NPPES

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

SE HWA KIM (NPI 1790196129) is an individual psychiatric/mental health provider in Flushing, New York, licensed in New York (F401806-01) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790196129
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSE HWA KIM
Location Address4230 160TH STFlushing, NY 11358-2524
Mailing Address4230 160th StFlushing, NY 11358-2524 · (718) 309-0722
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 20, 2014
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1790196129 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 · F401806-01
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 624659-1 (NY)
4230 160TH ST, Flushing, NY 11358

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

Se Hwa Kim 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 ID1658717228
PECOS Enrollment IDI20240306002423
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 Se Hwa Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
82-68 164TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 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.

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330199
Location1901 First AvenueNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11358 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Se Hwa Kim's NPI number?

The NPI number for Se Hwa Kim is 1790196129. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Se Hwa Kim located?

Se Hwa Kim practices at 4230 160th St, Flushing, NY 11358. The listed phone number is (718) 309-0722.

What is Se Hwa Kim's specialty?

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

Is Se Hwa Kim enrolled in Medicare?

Yes. Se Hwa 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 Se Hwa Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Se Hwa Kim reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Jamaica, NY) and Metropolitan Medical Practice Plan PC (New York, 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 Se Hwa Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Se Hwa Kim affiliated with any hospitals?

According to CMS data, Se Hwa Kim is affiliated with Metropolitan Hospital Center.

When was this NPI record last updated?

The NPPES record for Se Hwa Kim was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.