DR. SUSAN KIM (MD) – Nephrology Physician, NPI 1154496958

DR. SUSAN KIM (MD) is a healthcare provider. based in Bronx, New York. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 214422 (NY). The NPI Number for DR. SUSAN KIM (MD) is 1154496958

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN KIM (MD)
NPI
1154496958
Phone
(718) 579-5734
Address
234 E 149TH ST
Enumeration Date
21 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
7186165356
Graduation Year
1998 (28 years ago)
PAC ID
4284692955
Group Practice PAC ID
4688098833
Professional Enrollment ID
I20041228000503
Address ID
NY112357745BR2601XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,249 NEPHROLOGY in NY

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Provider Addresses for DR. SUSAN KIM (MD)

  • Lincoln Hospital, 234, East 149th Street, The Bronx, Bronx County, New York, 10451, United States

    BRONX, NY 104515504

    Phone: (718) 579-5734

    Fax: (718) 579-4963

    Type: Location

  • 316, Franklin Court, Edgewater, Bergen County, New Jersey, 07020, United States

    EDGEWATER, NJ 070201603

    Phone: (201) 313-1993

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Abbott Laboratories ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$121
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: 2004-12-28

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
I20041228000503INephrologyNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2820$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 10451)

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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: 4688098833View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
Gastroenterology, Internal MedicineNY
Internal MedicineNY
Orthopedic SurgeryNY
Vascular Surgery, General SurgeryNY
Pediatric Medicine, Internal MedicineNY
Radiation OncologyNY
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Where can patients find DR. SUSAN KIM (MD)'s NPI?
You can confirm DR. SUSAN KIM (MD) with NPI 1154496958; it appears in the national provider directory.
Is DR. SUSAN KIM (MD) currently active in the NPI registry?
CMS-published data lists DR. SUSAN KIM (MD) as an active registrant.
What does DR. SUSAN KIM (MD) treat or focus on?
Patients typically see DR. SUSAN KIM (MD) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SUSAN KIM (MD)?
The snapshot lists Bronx, New York for DR. SUSAN KIM (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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