JI WON KIM M.D.
NPI 1982921102
Pediatrics - Pediatric Emergency Medicine in New York, NY
About Ji Won Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JI WON KIM M.D. (NPI 1982921102) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (271491) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ji Won Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ji Won Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 226 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Ji Won Kim's NPI number?
The NPI number for Ji Won Kim is 1982921102. It was assigned to this individual provider in the NPPES registry on April 28, 2010.
Where is Ji Won Kim located?
Ji Won Kim practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-3970.
What is Ji Won Kim's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Ji Won Kim enrolled in Medicare?
Yes. Ji Won Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ji Won Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ji Won Kim reassigns Medicare benefits to Weill Medical College Of Cornell (New York, 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 Ji Won 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 Ji Won Kim was last updated on October 10, 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.
# Ji Won Kim, M.D. · NPI 1982921102
Pediatric Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 28, 2010.
## Identity
- **NPI:** 1982921102 (Entity type: Individual)
- **Enumerated:** April 28, 2010
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 271491 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10065-4870
- **Phone:** (212) 746-3970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Weill Medical College Of Cornell (NPI 1205882586, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1982921102) · Data from the CMS NPPES public registry.