Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Dongseong Kim, MD

Individual provider Internal Medicine Physician · NPI 1063152114

Carl Dongseong Kim, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with City of Philadelphia, a 87-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Spruce St
Philadelphia, PA 19107-6192
Phone: (215) 829-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2230 Cottman Ave, Philadelphia, PA 19149-1230 — (215) 685-0603

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD490512 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063152114
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice City Of Philadelphia — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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