DR. KYONGMI KIM MD
NPI 1871521112
Internal Medicine in Bronx, NY

Active since June 28, 2006PECOS Enrolled
2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Dr. Kyongmi Kim Md NPPES

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

DR. KYONGMI KIM MD (NPI 1871521112) is an individual internal medicine provider in Bronx, New York, licensed in New York (159766) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871521112
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KYONGMI KIMCredential: MD
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (718) 795-4394
Fax(718) 299-6797
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 3, 20162 updates tracked since enumeration
✔ NPI 1871521112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 159766
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2015 GRAND CONCOURSE, Bronx, NY 10453

Other Identifiers 6

Medicare ID-Type Unspecified34421NY
Other34421NY · Empire Medicare
Medicare UPINB58649NY
Medicaid01839165NY
Other9255AZNY · Ghi Medicare
OtherA300033960NY · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyongmi 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kyongmi Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Skilled Nursing Facility
100 W KINGSBRIDGE RD
Bronx, NY 10468
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
3 BARKER AVE
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 167 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453

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 Kyongmi Kim's NPI number?

The NPI number for Kyongmi Kim is 1871521112. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kyongmi Kim located?

Kyongmi Kim practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 299-7295.

What is Kyongmi Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyongmi Kim enrolled in Medicare?

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

Which organizations bill Medicare for Kyongmi Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyongmi Kim reassigns Medicare benefits to 4 organizations: Essen Medical Associates, PC (Bronx, NY), Tcprnc, LLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and Hospitalist Healthcare Services PLLC (White Plains, 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 Kyongmi 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 Kyongmi Kim was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.