DOHYUNG KIM PT
NPI 1912978982
Specialist in Flushing, NY

Active since January 30, 2006
15301 NORTHERN BLVD, STE 2E, FLUSHING, NY 11354(718) 888-1641(718) 888-2514 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dohyung Kim Pt NPPES

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

DOHYUNG KIM PT (NPI 1912978982) is an individual specialist in Flushing, New York, licensed in New York (019722) and active in the NPI registry since January 2006. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1912978982
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDOHYUNG KIMCredential: PT
Location Address15301 NORTHERN BLVD, STE 2EFlushing, NY 11354-5035
Mailing Address15301 Northern Blvd, Ste 2eFlushing, NY 11354-5035 · (718) 888-1641 · Fax (718) 888-2514
Fax(718) 888-2514
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJune 13, 2016
✔ NPI 1912978982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 019722
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15301 NORTHERN BLVD, Flushing, NY 11354

Other Identifiers 4

Medicare ID-Type Unspecified04661NY · Ghi Medicare
Medicare PIN07681NY
Medicaid02590958NY
Other74981NY · Careplus

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dohyung Kim Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527070127
PECOS Enrollment IDI20060630000156

Medicare Billing Reassignments

2

Medicare enrollment records show Dohyung Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
15301 NORTHERN BLVD, SUITE 2E
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Carezone Physical Therapy PC
Specialist
15301 NORTHERN BLVD., STE. 2G
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment

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

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Gastroenterology)
15301 NORTHERN BLVD, 2D
FLUSHING, NY 11354
Clinic/Center
15301 NORTHERN BLVD
FLUSHING, NY 11354
Physical Therapist
15301 NORTHERN BLVD, SUITE 2E
FLUSHING, NY 11354
Physical Therapist
15301 NORTHERN BLVD, #2G
FLUSHING, NY 11354
Physical Therapist
15301 NORTHERN BLVD, SUITE 2G
FLUSHING, NY 11354
Physical Therapist
15301 NORTHERN BLVD, SUITE 2F
FLUSHING, NY 11354
Internal Medicine (Gastroenterology)
15301 NORTHERN BLVD, SUITE 2D
FLUSHING, NY 11354
Massage Therapist
15301 NORTHERN BLVD, 2G
FLUSHING, NY 11354

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 Dohyung Kim's NPI number?

The NPI number for Dohyung Kim is 1912978982. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Dohyung Kim located?

Dohyung Kim practices at 15301 Northern Blvd Ste 2E, Flushing, NY 11354. The listed phone number is (718) 888-1641.

What is Dohyung Kim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dohyung Kim enrolled in Medicare?

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

Which organizations bill Medicare for Dohyung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dohyung Kim reassigns Medicare benefits to 2 organizations: Carezone Physical Therapy, P.C. (Flushing, NY) and Dohyung Kim Physical Therapy PC (Flushing, 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 Dohyung 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 Dohyung Kim was last updated on June 13, 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.