Dr Kwangsu Kim, DPM in Bayside, NY - Medicare Podiatry Provider

Dr Kwangsu Kim, DPM is a medicare enrolled "Podiatrist" provider in Bayside, New York. He went to Temple University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Podiatry. His current practice location is 21909 Northern Blvd, Bayside, New York. You can reach out to his office (for appointments etc.) via phone at (718) 229-9200.

Dr Kwangsu Kim is licensed to practice in New York (license number N006264-01) 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 1104095744.

Contact Information

	Dr Kwangsu Kim, DPM
	21909 Northern Blvd, Bayside, NY 11361-3525
	(718) 229-9200
	(866) 668-7533

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kwangsu Kim
Gender	Male
Speciality	Podiatry
Experience	20 Years
Location	21909 Northern Blvd, Bayside, 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 Kwangsu Kim attended and graduated from Temple University School Of Medicine in 2005

NPI Data:

NPI Number: 1104095744
Provider Enumeration Date: 02/28/2008
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 0446325757
Enrollment ID: I20080821000343

Medical Identifiers

Medical identifiers for Dr Kwangsu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104095744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	N006264-01 (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. Dr Kwangsu Kim allows following entities to bill medicare on his behalf.

Provider Name	Ks Podiatry Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710220561 PECOS PAC ID: 6103066576 Enrollment ID: O20130829000183

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 Kwangsu 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 Kwangsu Kim, DPM 21909 Northern Blvd, Bayside, NY 11361-3525 Ph: (718) 229-9200	Dr Kwangsu Kim, DPM 21909 Northern Blvd, Bayside, NY 11361-3525 Ph: (718) 229-9200

Reviews and Comments

Podiatrist in Bayside, NY

Steven M. Schecht, Dpm P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 214-02 24th Ave., Bayside, NY 11360 Phone: 718-423-5700 Fax: 718-423-5769
Dr. Janna Gefter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2383 Bell Blvd, Bayside, NY 11360 Phone: 718-423-3535 Fax: 718-423-3581
Dr. Gordon J. Berg & Dr. Kenneth Moskowitz Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21409 73rd Ave, Bayside, NY 11364 Phone: 718-224-9000 Fax: 718-224-1348
Neil Blatt Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2383 Bell Blvd, Bayside, NY 11360 Phone: 718-423-3535
Daniel Grapel Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21302 42nd Ave, Bayside, NY 11361 Phone: 718-279-9666 Fax: 718-279-2772
David Gitlin, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 32-07 Francis Lewis Blvd, Bayside, NY 11358 Phone: 212-372-0991

Dr Kwangsu Kim, DPM - Medicare Podiatrist in Bayside, NY