DR. WILLIAM S KIM (D.D.S.) – Dentist, NPI 1164815759
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
101 MAXILLOFACIAL SURGERY in NY
Provider Addresses for DR. WILLIAM S KIM (D.D.S.)
51685 VAN DYKE AVE
SHELBY TOWNSHIP, MI 483164449
Phone: (586) 924-2038
Fax: (586) 323-1644
Type: Mailing
100 HAVEN AVE.
TOWER 2, APARTMENT 24-C, MAILBOX 24-C
NEW YORK, NY 100323620
Phone: (650) 740-8896
Type: Mailing
100 HAVEN AVE
TOWER 2, APARTMENT 24-C, MAILBOX 24-C
NEW YORK, NY 100322645
Phone: (650) 740-8896
Type: Location
1848 KIRTS BLVD APT 109
TROY, MI 480844364
Phone: (650) 740-8896
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,159.
Total Amount is formed as General ($1,159) + Research ($0) + Ownership ($0) = $1,159.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: KLS-Martin L.P. ($1,000).
Total Amount
$1,159
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $1,000 |
| Straumann USA LLC | $159 |
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: 2023-12-27
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231227002338 | I | Maxillofacial Surgery | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48316)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | MI |
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