Dr Jongho Kim, MD is a medicare enrolled "Nuclear Medicine" physician in New York, New York. He graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Christiana Care Health Services Inc, Christiana Care Health Services Inc, Christiana Care Pennsylvania Inc and his current practice location is
630 W 168th St # Mc28, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 882-8208.
Dr Jongho Kim is licensed to practice in New York (license number 290542) 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 1760640478.
Physician's Profile
| Full Name | Dr Jongho Kim |
|---|
| Gender | Male |
|---|
| Speciality | Nuclear Medicine |
|---|
| Experience | 40 Years |
|---|
| Location | 630 W 168th St # Mc28, New York, New York |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jongho Kim graduated from medical school in 1986
NPI Data:
- NPI Number: 1760640478
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941518492
- Enrollment ID: I20151001002670
Medical Identifiers
Medical identifiers for Dr Jongho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760640478 | NPI | - | NPPES |
| 860279748 | Other | NY | UNITEDHEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207U00000X | Nuclear Medicine | C1-0026366 (Delaware) | Secondary |
| 207U00000X | Nuclear Medicine | 290542 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Christiana Care Health Services Inc | 9739097569 | 1480 |
| Christiana Care Health Services Inc | 9739097569 | 1480 |
| Christiana Care Pennsylvania Inc | 8921549973 | 176 |
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. Dr Jongho Kim allows following entities to bill medicare on his behalf.
| Entity Name | Christiana Care Health Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1659547560 PECOS PAC ID: 9739097569 Enrollment ID: O20080730000317 |
|---|
| Entity Name | Christiana Care Pennsylvania Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1467298299 PECOS PAC ID: 8921549973 Enrollment ID: O20240918002420 |
|---|
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 Jongho 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 Address | Practice Location Address |
Dr Jongho Kim, MD 306 Riveredge Rd, Tenafly, NJ 07670-1938 Ph: (917) 882-8208 | Dr Jongho Kim, MD 630 W 168th St # Mc28, New York, NY 10032-3725 Ph: (917) 882-8208 |
Reviews and Comments