Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508904210 Individual Practitioner Male Practitioner

Dr. Chulsoon Kim , MD

General Practice • Jackson Heights, NY

Professional Overview & Biography Verified Profile Summary

Dr. Chulsoon Kim, MD is a registered healthcare professional specializing in General Practice in Jackson Heights, NY. Practice services are available at 3725 75TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3725 75th St

Jackson Heights, NY 113726422

Telephone 7185076262
Associated Practice Facility / Clinic
🏢 Jai Jeen Rhee, M.d. Facility NPI 1144402363

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jackson Heights, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson Heights, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00218268 (NY)
Commercial Insurance / Payer ID Healthfirst
117576-A17 (NY)
Commercial Insurance / Payer ID Blue Cross & Blue Shield
673881 CK (NY)
Commercial Insurance / Payer ID Oxford
P3602724 (NY)
Commercial Insurance / Payer ID Elderplan
169119 (NY)
Commercial Insurance / Payer ID United Healthcare
17-00464 (NY)
Commercial Insurance / Payer ID Ghi
0073578 (NM)
Commercial Insurance / Payer ID Railroad Medicare
P00104843

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jai Rhee

Internal Medicine - Cardiovascular Disease

NPI 1437210150

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

General Practice (License #117576-1 in NC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHULSOON KIM, M.D.

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

Surgery (License #117576-1 in NY)

🟢
Initial NPI Registration & Enumeration February 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

3725 75th St

Jackson Heights, NY 113726422

Phone: 7185076262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.