Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487667374 Individual Practitioner Male Practitioner

Dr. Michael Joon Kim , MD

Surgery • Rochester, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kim, MD is a registered healthcare professional specializing in Surgery in Rochester, NY. Practice services are available at 1415 PORTLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 Portland Ave

Rochester, NY 146213038

Telephone 5859224840
Fax 5859223950
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
63 Specialists

Practicing in Rochester, NY (2269 Statewide)

Telehealth Adoption Rate
1.6% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 254292

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
03256008/RGH (NY)
Medicaid State Provider ID
03635045 (NY)

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1053417113

Doctor of Medicine (M.D.)

Leesha Platteter , NP

Nurse Practitioner - Acute Care

NPI 1063189389

Nurse Practitioner

Yvonne Harrison , FNP

Nurse Practitioner - Family

NPI 1174813620

Family Nurse Practitioner

Amy Mclean-Ewanow , PA

Physician Assistant - Surgical

NPI 1184656795

Physician Assistant

Matthew Mccabe , PA

Physician Assistant - Surgical

NPI 1275000572

Physician Assistant

Amy Brownell , PA-C

Physician Assistant

NPI 1306355532

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2014

Registered at 1415 PORTLAND AVE, ROCHESTER, NY 146213038 (Tel: 5859224840)

📍
Updated Business Mailing Address January 16, 2014

Registered at 1415 PORTLAND AVE, ROCHESTER, NY 146213038 (Tel: 5859224840)

👤
Provider Name / Credentials Updated January 16, 2014

Recorded as MICHAEL KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Surgery (License #254292 in NY)

🟢
Initial NPI Registration & Enumeration August 14, 2006

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: 1487667374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: January 16, 2014
Sole Proprietor: No

Mailing Address

1415 Portland Ave

Rochester, NY 146213038

Phone: 5859224840

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.