EDWARD KIM MD
NPI 1851565543
Radiology - Vascular & Interventional Radiology in New York, NY

NPI Status: Active since April 15, 2008

Contact Information

1176 5TH AVE
NEW YORK, NY
ZIP 10029
Phone: (212) 241-8426
Fax: (212) 410-1973

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  • Individual
  • Male
  • Years of Experience 24
  • Radiology
  • Vascular & Interventional Radiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About EDWARD KIM

This page provides the complete NPI Profile along with additional information for Edward Kim, a provider established in New York, New York with a medical specialization in Radiology, focusing in vascular & interventional radiology and more than 24 years of experience. He graduated from Rutgers New Jersey Medical School in 2002. The healthcare provider is registered in the NPI registry with number 1851565543 assigned on April 2008. The practitioner's primary taxonomy code is 2085R0204X with license number 245357 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1851565543
Provider Name
EDWARD KIM MD
Gender
Male
Entity Type
Individual
Location Address
1176 5TH AVE NEW YORK, NY 10029
Location Phone
(212) 241-8426
Location Fax
(212) 410-1973
Mailing Address
1176 5TH AVE NEW YORK, NY 10029
Mailing Phone
(212) 241-8426
Mailing Fax
(212) 410-1973
Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
04-15-2008
Last Update Date
10-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
License No.
245357
License State
NY
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

245357 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
245357OTHER (01)NYLICENSE

Medicare Participation & PECOS Enrollment Status

Edward Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Edward Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567531130

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080522000095

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 43 times for 35 patients

Ct guidance for tissue removal

CT guidance for tissue removal is a procedure where a CT scan, a type of X-ray, is used to create detailed images of the body. This helps the doctors to accurately locate and safely remove abnormal tissue. The process is non-invasive, precise and aims to reduce recovery time.

This service was performed 17 times for 17 patients

Destruction of growth of liver through skin using radiofrequency

This procedure involves the use of radiofrequency energy to eliminate a liver growth. A special needle is inserted through the skin into the liver growth. Radiofrequency energy is then passed through the needle to heat and destroy the growth.

This service was performed 17 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 15 times for 15 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 14 times for 14 patients

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.

This service was performed 32 times for 20 patients

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch

This procedure involves inserting a tube into an artery in your abdomen, pelvis, or leg. The tube is placed into the first order branch of the artery. It's done to investigate or treat conditions affecting blood flow. It's a safe, common procedure.

This service was performed 23 times for 23 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

This service was performed 86 times for 48 patients

Leg revascularization (restoring blood flow)

Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.

This service was performed for 1-10 patients

Needle biopsy of liver through skin

A needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.

This service was performed 11 times for 11 patients

Occlusion of growths or obstructed vessels with review by radiologist

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

This service was performed 51 times for 42 patients

Review by radiologist of abdominal artery image

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

This service was performed 56 times for 34 patients

Review by radiologist of additional artery image

This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.

This service was performed 70 times for 32 patients

Ultrasonic guidance for blood vessel access

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

This service was performed 25 times for 20 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

This service was performed 72 times for 46 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $25.51 for a new patient copayment and $20.36 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10029 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.44
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $20.36
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in CAHPS or other supplemental questionnaireYesN/A
Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets).
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Edward Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MOUNT SINAI HOSPITALONE GUSTAVE L LEVY PLACE
NEW YORK, NY 10029
(212) 241-7981Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1851565543, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 0 + 1 + 1 + 0 + 6 + 1 + 0 + 5 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1851565543.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
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Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
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Radiology (Diagnostic Radiology)
1176 5TH AVE
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Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
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Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
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Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Specialist
1176 5TH AVE
NEW YORK, NY 10029
Obstetrics & Gynecology
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Radiology (Diagnostic Radiology)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851565543, enumerated as an "individual" on April 15, 2008.

The provider is located at 1176 5TH AVE NEW YORK, NY 10029 and the phone number is (212) 241-8426.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Edward Kim is affiliated with: MOUNT SINAI HOSPITAL.