Kyung Ho Kim, MD - Medicare Internal Medicine in Stony Brook, NY

Kyung Ho Kim, MD is a medicare enrolled "Internal Medicine" physician in Stony Brook, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and his current practice location is Dept Of Medicine Stony Brook University, Health Sciences Center Level 16 Rm 020, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (646) 522-9816.

Kyung Ho Kim is licensed to practice in Connecticut (license number 69785) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063687929.

Contact Information

Kyung Ho Kim, MD
Dept Of Medicine Stony Brook University, Health Sciences Center Level 16 Rm 020,
Stony Brook, NY 11794-0001
(646) 522-9816
Not Available



Physician's Profile

Full NameKyung Ho Kim
GenderMale
SpecialityInternal Medicine
Experience22 Years
LocationDept Of Medicine Stony Brook University, Stony Brook, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyung Ho Kim attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1063687929
  • Provider Enumeration Date: 04/23/2008
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698797462
  • Enrollment ID: I20211206002512

Medical Identifiers

Medical identifiers for Kyung Ho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063687929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 69785 (Connecticut)Secondary
207R00000XInternal Medicine 69785 (Connecticut)Primary
207RN0300XInternal Medicine - Nephrology 235372 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford Healthcare At HomeBloomfield, CTHospice
St. Vincent's Medical CenterBridgeport, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411138

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyung Ho Kim allows following entities to bill medicare on his behalf.
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyung Ho Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyung Ho Kim, MD
2800 Main St,
Bridgeport, CT 06606-4201

Ph: (475) 210-5847
Kyung Ho Kim, MD
Dept Of Medicine Stony Brook University, Health Sciences Center Level 16 Rm 020,
Stony Brook, NY 11794-0001

Ph: (646) 522-9816

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Internal Medicine Doctors in Stony Brook, NY

Mohamed Hassan Kamel, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Stony Brook University Hospital 101 Nicolls Road, Stony Brook, NY 11794
Phone: 631-689-8333    
Narinder Singh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-4000    
Dr. Andrzej Kudelka, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Pellegrino Rd, Z8151, Stony Brook, NY 11794
Phone: 631-638-0910    Fax: 631-638-0195
Saverio J Barbera, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Health Science Center Nicolls Road, T-16-080, Stony Brook, NY 11794
Phone: 631-444-3575    Fax: 631-444-1054
Dr. Richard Lin, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: University Hospital, L5, Stony Brook, NY 11794
Phone: 631-444-2540    
Dr. Ajay Malhotra, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Hsc L4 Rm 120, Stony Brook, NY 11794
Phone: 631-444-5400    Fax: 631-444-7538
Dr. John Anthony Savino Iii, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Stony Brook Rd Bldg D, Stony Brook, NY 11790
Phone: 212-241-1653    Fax: 212-289-6393

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