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TAEWAN KIM MD
NPI 1992757421
Surgery in Oswego, NY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
140 W 6TH ST STE LL30, OSWEGO, NY 13126(315) 349-5511(315) 349-5921 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Mar 4, 2022, Feb 5, 2020 (3 updates tracked since 2020).

About Taewan Kim Md NPPES

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

TAEWAN KIM MD (NPI 1992757421) is an individual surgery provider in Oswego, New York, licensed in New York (220630) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1992757421
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTAEWAN KIMCredential: MD
Location Address140 W 6TH ST STE LL30Oswego, NY 13126-2564
Mailing Address110 W 6th StOswego, NY 13126-2507 · (315) 349-5511 · Fax (315) 349-5921
Phone(315) 349-5511
Fax(315) 349-5921
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1996
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 29, 20233 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1992757421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 220630
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
140 W 6TH ST STE LL30, Oswego, NY 13126
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Secondary Practice Location 1

Location 1505 Irving Ave, Ste 1249Syracuse, NY 13210-1718 · Phone (315) 464-9852 · Fax (315) 464-9814

Other Identifiers 2

Medicaid02155824NY
OtherP02005039NY · Railroad Medicare

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

Taewan 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 ID42233702
PECOS Enrollment IDI20060109000419
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 Taewan Kim's NPI number?

The NPI number for Taewan Kim is 1992757421. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Taewan Kim located?

Taewan Kim practices at 140 W 6th St Ste Ll30, Oswego, NY 13126. The listed phone number is (315) 349-5511.

What is Taewan Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Taewan Kim enrolled in Medicare?

Yes. Taewan 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 Taewan Kim affiliated with any hospitals?

According to CMS data, Taewan Kim is affiliated with Samaritan Medical Center and Crouse Hospital.

When was this NPI record last updated?

The NPPES record for Taewan Kim was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.