Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Chulsoon Kim , MD

General Practice β€’ Jackson Heights, NY

Active NPI 1508904210 Individual Practitioner Male Practitioner
Practice location in NPPES

3725 75th St
Jackson Heights, NY 113726422

Call 7185076262 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3725 75th St

Jackson Heights, NY 113726422

Telephone 7185076262
Organization at the Same NPPES Address or Phone
Jai Jeen Rhee, M.d. Facility NPI 1144402363

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson Heights and New York

3 active clinicians are listed under General Practice with a practice address in Jackson Heights, NY (683 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES NC 117576-1

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NY 117576-1

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00218268 (NY)
Other Identifier Healthfirst
117576-A17 (NY)
Other Identifier Blue Cross & Blue Shield
673881 CK (NY)
Other Identifier Oxford
P3602724 (NY)
Other Identifier Elderplan
169119 (NY)
Other Identifier United Healthcare
17-00464 (NY)
Other Identifier Ghi
0073578 (NM)
Other Identifier Railroad Medicare
P00104843

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

General Practice (license number reported to NPPES: NC 117576-1)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3725 75TH ST, JACKSON HEIGHTS, NY 113726422 (Tel: 7185076262)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3725 75TH ST, JACKSON HEIGHTS, NY 113726422 (Tel: 7185076262)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CHULSOON KIM, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (license number reported to NPPES: NY 117576-1)

🟒
Initial NPI Registration & Enumeration February 02, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1508904210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Other General Practices in Jackson Heights

Healthcare providers in Jackson Heights

Mailing Address

3725 75th St

Jackson Heights, NY 113726422

Phone: 7185076262

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.