Sung Jo Kim, MD - Medicare Internal Medicine in East Patchogue, NY

Sung Jo Kim, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in East Patchogue, New York. His current practice location is 260 Patchogue Yaphank Rd, Ste F, East Patchogue, New York. You can reach out to his office (for appointments etc.) via phone at (631) 654-8755.

Sung Jo Kim is licensed to practice in New York (license number 121585) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477538908.

Contact Information

Sung Jo Kim, MD
260 Patchogue Yaphank Rd, Ste F,
East Patchogue, NY 11772-4886
(631) 654-8755
(631) 654-8709

Map and Direction




Physician's Profile

Full NameSung Jo Kim
GenderMale
SpecialityInternal Medicine - Nephrology
Location260 Patchogue Yaphank Rd, East Patchogue, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477538908
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 04/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1456374875
  • Enrollment ID: I20100928000684

Medical Identifiers

Medical identifiers for Sung Jo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477538908NPI-NPPES
W38231OtherMEDICARE GROUP NUMBER
00228217MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 121585 (New York)Primary

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. Sung Jo Kim allows following entities to bill medicare on his behalf.
Entity NameBrookhaven Nephrology Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841345022
PECOS PAC ID: 7719878743
Enrollment ID: O20040322000268

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. Sung Jo 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 AddressPractice Location Address
Sung Jo Kim, MD
260 Patchogue Yaphank Rd, Ste F,
East Patchogue, NY 11772-4886

Ph: (631) 654-8755
Sung Jo Kim, MD
260 Patchogue Yaphank Rd, Ste F,
East Patchogue, NY 11772-4886

Ph: (631) 654-8755

Reviews and Comments


Internal Medicine Doctors in East Patchogue, NY

Joel Myladoor Chandy, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 260 Patchogue Yaphank Rd, East Patchogue, NY 11772
Phone: 631-289-0300    
Qazi Qaisar Afzal, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 285 Sills Rd, Building 7, Suite B, East Patchogue, NY 11772
Phone: 631-654-4577    Fax: 631-654-3391
Amit Sankar Mandal, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Rd Ste 201, East Patchogue, NY 11772
Phone: 631-475-6900    
Shahriar Joseph Khalili, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 285 Sills Road, Building #14, East Patchogue, NY 11772
Phone: 631-447-8300    Fax: 631-447-8872
Ajish Pillai, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 260 Patchogue Yaphank Rd Ste C, East Patchogue, NY 11772
Phone: 215-762-7000    
Robert M Chernaik, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 285 Sills Rd Bldg 4d, East Patchogue, NY 11772
Phone: 631-654-1800    Fax: 631-240-9181
Dean J Babich, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 260 Patchogue Yaphank Rd, Suite F, East Patchogue, NY 11772
Phone: 631-654-8755    Fax: 631-654-8709

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.