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

Dr. Changrae Kim, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1083022149

Dr. Changrae Kim, DPM is a Podiatry in Maspeth, New York. Graduated from Temple University School of Podiatric Medicine in 2008, 18 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
Temple University School of Podiatric Medicine
Licensed in
NY
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6508 Grand Ave
Maspeth, NY 11378-2423
Phone: (917) 359-3937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 006653 (NY)

Record details

NPI number1083022149
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESAugust 31, 2014
Mailing address2 Bay Club Dr Apt 5x, Bayside, NY 11360-2921

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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