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

Kevin Shim, DPM

Individual provider Podiatrist · NPI 1184116584

Kevin Shim, DPM is a Podiatry in Bay Shore, New York. Graduated from Temple University School of Podiatric Medicine in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
Temple University School of Podiatric Medicine
Licensed in
NY
In the registry since
2018
Specialties on file
2
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

1810 Union Blvd
Bay Shore, NY 11706-7923
Phone: (631) 968-5600
Fax: (631) 328-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 007146 (NY)
Podiatrist Taxonomy 213E00000X · Licence 007146 (NY)

Record details

NPI number1184116584
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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