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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DONGSOO KIM M.D.
NPI 1881622504
Internal Medicine - Nephrology in Mount Vernon, NY

Active since June 29, 2006PECOS Enrolled
102 VALENTINE ST, MOUNT VERNON, NY 10550(914) 665-2267(914) 693-7801 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dongsoo Kim M.d. NPPES

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

DR. DONGSOO KIM M.D. (NPI 1881622504) is an individual nephrology provider in Mount Vernon, New York, licensed in New York (165345) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881622504
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DONGSOO KIMCredential: M.D.
Location Address102 VALENTINE STMount Vernon, NY 10550-2504
Mailing Address16 Arden DrHartsdale, NY 10530-2936 · (914) 693-8122 · Fax (914) 693-7801
Phone(914) 665-2267
Fax(914) 693-7801
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 2, 2026
✔ NPI 1881622504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 165345
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
102 VALENTINE ST, Mount Vernon, NY 10550
Open in Google Maps ↗

Other Identifiers 1

Medicaid01709291NY

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. Dongsoo Kim M.d. 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 10550 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHI HO CHANG M.D.
Specialist
102 VALENTINE ST
MOUNT VERNON, NY 10550
Westchester County (914) 668-5353

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 Dongsoo Kim's NPI number?

The NPI number for Dongsoo Kim is 1881622504. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Dongsoo Kim located?

Dongsoo Kim practices at 102 Valentine St, Mount Vernon, NY 10550. The listed phone number is (914) 665-2267.

What is Dongsoo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dongsoo Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dongsoo Kim was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.