DR. DAVE SUNGSOO KIM M.D.
NPI 1831456631
Psychiatry & Neurology - Psychiatry in Glen Oaks, NY
About Dr. Dave Sungsoo Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVE SUNGSOO KIM M.D. (NPI 1831456631) is an individual psychiatry provider in Glen Oaks, New York, licensed in New York (272769) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Dave Sungsoo Kim M.d. 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 Dave Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Dave Kim's NPI number?
The NPI number for Dave Kim is 1831456631. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Dave Kim located?
Dave Kim practices at 7559 263rd St, Glen Oaks, NY 11004. The listed phone number is (718) 470-8210.
What is Dave Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Dave Kim enrolled in Medicare?
Yes. Dave 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 Dave Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dave Kim reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Dave Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dave Kim was last updated on April 30, 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.
# Dr. Dave Sungsoo Kim, M.D. · NPI 1831456631
Psychiatry physician in Glen Oaks, New York. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1831456631 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 272769 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7559 263RD ST, Glen Oaks, NY 11004-1150
- **Phone:** (718) 470-8210 · **Fax:** (718) 831-0368
## 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:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** April 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1831456631) · Data from the CMS NPPES public registry.