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

Kyung Ho Kim, MD

Individual provider Nephrology Physician · NPI 1063687929

Kyung Ho Kim, MD is an Internal Medicine in Stony Brook, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2002, 24 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
24
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CT, NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020
Stony Brook, NY 11794-0001
Phone: (646) 522-9816
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 69785 (CT)
Nephrology Physician Taxonomy 207RN0300X · Licence 69785 (CT)
Nephrology Physician Taxonomy 207RN0300X · Licence 235372 (NY)

Record details

NPI number1063687929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2008
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook