SU JEOUNG KIM MD
NPI 1942889464
Ophthalmology in New York, NY

Q: What is Su Jeoung Kim's NPI number?

The NPI number for Su Jeoung Kim is 1942889464. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Q: What is Su Jeoung Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Su Jeoung Kim was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment

622 W 168TH ST PH 18, NEW YORK, NY 10032(212) 305-9535 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Su Jeoung Kim Md NPPES

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

SU JEOUNG KIM MD (NPI 1942889464) is an individual ophthalmology provider in New York, New York, licensed in New York (335825) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1942889464

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSU JEOUNG KIMCredential: MD

Location Address622 W 168TH ST PH 18New York, NY 10032-3720

Mailing Address622 W 168th St Ph 18New York, NY 10032-3720 · (212) 305-9535

Phone(212) 305-9535

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2021

Enumeration DateApril 2, 2021

Last NPPES UpdateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1942889464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 335825

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

622 W 168TH ST PH 18, New York, NY 10032

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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

Su Jeoung Kim Md 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 ID7416359203

PECOS Enrollment IDI20250620001356

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330101

Location525 East 68th StreetNew York, NY 10065 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

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 Su Jeoung Kim's NPI number?

The NPI number for Su Jeoung Kim is 1942889464. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Su Jeoung Kim located?

Su Jeoung Kim practices at 622 W 168th St Ph 18, New York, NY 10032. The listed phone number is (212) 305-9535.

What is Su Jeoung Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Su Jeoung Kim enrolled in Medicare?

Yes. Su Jeoung 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.

Is Su Jeoung Kim affiliated with any hospitals?

According to CMS data, Su Jeoung Kim is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Su Jeoung Kim was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.