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DR. CHANG SUNG KIM D.C.
NPI 1902242258
Chiropractor in Bayside, NY

Active since May 14, 2013Accepts Medicare Assignment
2391 BELL BLVD STE 205, BAYSIDE, NY 11360(718) 224-8382(718) 224-2844 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Chang Sung Kim D.c. NPPES

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

DR. CHANG SUNG KIM D.C. (NPI 1902242258) is an individual chiropractor in Bayside, New York, licensed in New York (012364) and active in the NPI registry since May 2013. He is a graduate of New York Chiropractic College (2012).

NPPES Registry Identity

NPI1902242258
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHANG SUNG KIMCredential: D.C.
Location Address2391 BELL BLVD STE 205Bayside, NY 11360-2019
Mailing Address2391 Bell Blvd Ste 205Bayside, NY 11360-2019 · (718) 224-8382 · Fax (718) 224-2844
Phone(718) 224-8382
Fax(718) 224-2844
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2012
Enumeration DateMay 14, 2013
Last NPPES UpdateMay 1, 2018
✔ NPI 1902242258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 012364
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2391 BELL BLVD STE 205, Bayside, NY 11360
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chang Sung Kim D.c. 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 ID7012151780
PECOS Enrollment IDI20130918000857

Medicare Billing Reassignment

Medicare enrollment records show Chang Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard Kim Chiropractic P.C.
Same address
Chiropractor
2391 BELL BLVD STE 103
Bayside, NY 11360
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Richard Kim Chiropractic PC
NPI 1902220619 (718) 224-8382

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
390 services29 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
142 services15 patients

Other Providers at the Same Location NPPES 2

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

PHILIP SCHATZ DPM PLLC
Podiatrist
2391 BELL BLVD STE 205
BAYSIDE, NY 11360
Queens County (516) 703-3369
NEW YORK SPEECH-LANGUAGE PATHOLOGY, PLLC
Speech-Language Pathologist
2391 BELL BLVD STE 205
BAYSIDE, NY 11360
Queens County (718) 943-6202

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 Kim's NPI number?

The NPI number for Chang Kim is 1902242258. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Chang Kim located?

Chang Kim practices at 2391 Bell Blvd Ste 205, Bayside, NY 11360. The listed phone number is (718) 224-8382.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chang Kim enrolled in Medicare?

Yes. Chang 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.

Which organization bills Medicare for Chang Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chang Kim reassigns Medicare benefits to Richard Kim Chiropractic P.C. (Bayside, NY). The 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 Chang 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 Chang Kim was last updated on May 1, 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.