YESUL KIM (MD) – Dermatology Physician, NPI 1144725672

YESUL KIM (MD) is a healthcare provider. based in Fairfield, Connecticut. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 74023 (CT). The NPI Number for YESUL KIM (MD) is 1144725672

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
YESUL KIM (MD)
NPI
1144725672
Phone
(203) 259-7709
Address
1305 POST RD STE 310
Enumeration Date
27 March 2018
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2032597709
Graduation Year
2018 (8 years ago)
PAC ID
0143566653
Group Practice PAC ID
9234201716
Professional Enrollment ID
I20230518003410
Address ID
CT068246016FA1305XRDXX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

271 DERMATOLOGY in CT

Provider Addresses for YESUL KIM (MD)

  • 1305 POST RD STE 310

    FAIRFIELD, CT 068246016

    Phone: (203) 259-7709

    Fax: (203) 259-7709

    Type: Location

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    HERSHEY, PA 170332360

    Phone:

    Type: Mailing

  • 1 COOPER PLZ

    CAMDEN, NJ 081031461

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $469.

Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($129).

Total Amount

$469

General + Research + Ownership

Payments

20

Total payment records

General Amount

$469

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230518003410IDermatologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11899$0
17003Destruction of precancer skin growth, 2-14 growths11526$0
11102Biopsy of related skin growth, first growth4841$0
17000Destruction of precancer skin growth, 1 growth4036$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm3632$0
View full utilization report →

Insurance plans in this area (ZIP 06824)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234201716View full group profile
NameSpecialtyState
Physician AssistantNY
Nurse PractitionerCT
D E R M A T O L O G YRI
Physician AssistantCT
D E R M A T O L O G YCT
Nurse PractitionerCT
D E R M A T O L O G YCT
D E R M A T O L O G YCT

Reviews

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Frequently asked questions

Is there an official ID for YESUL KIM (MD) in U.S. healthcare records?
The official identifier for YESUL KIM (MD) is NPI 1144725672.
Is there an active status for YESUL KIM (MD)?
For scheduling context, YESUL KIM (MD) is shown as active in the registry.
What kind of doctor is YESUL KIM (MD)?
YESUL KIM (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is YESUL KIM (MD) associated with Fairfield?
Public fields place YESUL KIM (MD) around Fairfield, Connecticut. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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