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DR. GRACE KIM MD
NPI 1790286201
Pediatrics in Jamaica, NY

Active since February 21, 2018PECOS Enrolled
82-68 164TH ST, SUITE P113, JAMAICA, NY 11432(718) 883-4500 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Grace Kim Md NPPES

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

DR. GRACE KIM MD (NPI 1790286201) is an individual pediatrics provider in Jamaica, New York, licensed in New York (188516) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790286201
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GRACE KIMCredential: MD
Location Address82-68 164TH ST, SUITE P113Jamaica, NY 11432-1121
Mailing Address82-68 164th St, Suite P113Jamaica, NY 11432-1121
Phone(718) 883-4500
Sole ProprietorNo
Enumeration DateFebruary 21, 2018
✔ NPI 1790286201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 188516
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
82-68 164TH ST, Jamaica, NY 11432
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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)

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

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 11432 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.

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.

MS. ALIYAMMA SAMUEL NP
Nurse Practitioner (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. VERONICA JANE FISKE PH.D
Psychologist
82-68 164TH ST, AOPC QUEENS HOSPITAL CENTER
JAMAICA, NY 11432
Queens County (718) 883-2970
RITU DATTA OTR/L
Occupational Therapist
82-68 164TH ST, 5TH FLOOR
JAMAICA, NY 11432
Queens County (718) 883-3000
MR. LLOYD LYNFORD MYERS PA
Physician Assistant (Surgical)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
LEAHA MACKENZIE ADAM M.D.
Student in an Organized Health Care Education/Training Program
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4037
DR. PAUL JOON KIM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. MIRIAM RUTH LACHINA NP
Nurse Practitioner (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. PATRICIA PLOVER MCNULTY NP
Nurse Practitioner (Pediatrics)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1790286201. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Where is Grace Kim located?

Grace Kim practices at 82-68 164th St Suite P113, Jamaica, NY 11432. The listed phone number is (718) 883-4500.

What is Grace Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Grace Kim enrolled in Medicare?

Yes. Grace Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.