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DR. CHANG SOO KIM M.D.
NPI 1891719860
Plastic Surgery in Stamford, CT

Active since July 26, 2006PECOS Enrolled
999 SUMMER ST, STAMFORD, CT 06905(203) 920-1444(866) 920-5178 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chang Soo Kim M.d. NPPES

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

DR. CHANG SOO KIM M.D. (NPI 1891719860) is an individual plastic surgery provider in Stamford, Connecticut, licensed in Connecticut (048229) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891719860
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. CHANG SOO KIMCredential: M.D.
Location Address999 SUMMER STStamford, CT 06905-5546
Mailing Address999 Summer StStamford, CT 06905-5546 · (203) 920-1444 · Fax (866) 920-5178
Phone(203) 920-1444
Fax(866) 920-5178
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 1, 2017
✔ NPI 1891719860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in CT · 048229✔ Licensed in NJ · 25MA07582400
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
999 SUMMER ST, Stamford, CT 06905
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Other Identifiers 2

Medicare ID-Type Unspecified071055NJ
Medicare UPINH88270NJ

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. Chang Soo 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 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

DR. THOMAS WILLIAM MANDERS DDS
Dentist (Endodontics)
999 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 325-3636
SHIMRAT R NOTIK MD
Dermatology
999 SUMMER ST, STE 305
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 428-4440
DR. IRENE WONG DDS
Dentist (Endodontics)
999 SUMMER ST, SUITE 301
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 325-3636
DR. ANNA KARIDAS DDS
Dentist (General Practice)
999 SUMMER ST, SUITE 203
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 961-8140
PATRICK J CAHILL D.O.
Obstetrics & Gynecology
999 SUMMER ST, SUITE 401
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 353-9099
JANET J. HARTERY M.S., P.T.
Specialist
999 SUMMER ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-8326
BRITTANY D FINCH
Specialist
999 SUMMER ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-8326
ANDREW S. LOVIG PT
Physical Therapist
999 SUMMER ST, FIRST FLOOR
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-8326

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 Chang Soo Kim's NPI number?

The NPI number for Chang Soo Kim is 1891719860. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Chang Soo Kim located?

Chang Soo Kim practices at 999 Summer St, Stamford, CT 06905. The listed phone number is (203) 920-1444.

What is Chang Soo Kim's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Chang Soo Kim enrolled in Medicare?

Yes. Chang Soo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chang Soo Kim was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.