Dr Chulsoon Kim, MD - General Practice in Jackson Heights, NY

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Dr Chulsoon Kim, MD is a General Practice physician based in Jackson Heights, New York. Dr Chulsoon Kim is licensed to practice in North Carolina (license number 117576-1) and his current practice location is 3725 75th St, Jackson Heights, New York. He can be reached at his office (for appointments etc.) via phone at (718) 507-6262.

NPI number for Dr Chulsoon Kim is 1508904210 and his current mailing address is 3725 75th St, Jackson Heights, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508904210.

Contact Information

Dr Chulsoon Kim, MD
3725 75th St,
Jackson Heights, NY 11372-6422
(718) 507-6262
Not Available

Map and Direction




Physician's Profile

Full NameDr Chulsoon Kim
GenderMale
SpecialityGeneral Practice
Location3725 75th St, Jackson Heights, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508904210
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 09/11/2025

Medical Identifiers

Medical identifiers for Dr Chulsoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508904210NPI-NPPES
0073578OtherNMGHI
117576-A17OtherNYHEALTHFIRST
673881 CKOtherNYBLUE CROSS & BLUE SHIELD
00218268MedicaidNY
P3602724OtherNYOXFORD
169119OtherNYELDERPLAN
17-00464OtherNYUNITED HEALTHCARE
P00104843OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 117576-1 (North Carolina)Primary
208600000XSurgery 117576-1 (New York)Secondary

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. Dr Chulsoon Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chulsoon Kim, MD
3725 75th St,
Jackson Heights, NY 11372-6422

Ph: (718) 507-6262		Dr Chulsoon Kim, MD
3725 75th St,
Jackson Heights, NY 11372-6422

Ph: (718) 507-6262

Reviews and Comments


General Practice Doctors in Jackson Heights, NY

Ethel Miriam Iusim, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 95-55 Roosevelt Ave, Jackson Heights, NY 11372
Phone: 718-478-7272    Fax: 718-478-6455
Mohammed Shafiqulhaque Chowdhury, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 7038 Broadway # 1f, Jackson Heights, NY 11372
Phone: 718-565-5600    
Dr. Carlos Julio Serrano, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3722 88th St, Jackson Heights, NY 11372
Phone: 718-507-9878    Fax: 718-520-7989

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.