MICHAEL MINJUN KIM D.O.
NPI 1891172722
Family Medicine in Riverhead, NY

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6000 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Minjun Kim D.o. NPPES

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

MICHAEL MINJUN KIM D.O. (NPI 1891172722) is an individual family medicine provider in Riverhead, New York, licensed in New York (292970) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1891172722
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL MINJUN KIMCredential: D.O.
Location Address1300 ROANOKE AVERiverhead, NY 11901
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 548-6000
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateJune 19, 2018
NPI 1891172722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 292970
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 ROANOKE AVE, Riverhead, NY 11901

Other Names 1

Former Name (1)Min Joon Kim D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Minjun Kim D.o. 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.

PECOS PAC ID1254689276
PECOS Enrollment IDI20180808001681
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 11901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1891172722. It was assigned to this individual provider in the NPPES registry on April 29, 2015. The provider is also known as Min Joon Kim D.O..

Where is Michael Kim located?

Michael Kim practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Kim enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Kim was last updated on June 19, 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.