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

Samuel W Kim, MD

Individual provider Neuroradiology Physician · NPI 1265520779

Samuel W Kim, MD is a Diagnostic Radiology in Poughkeepsie, New York. Graduated from State University of Ny Upstate Medical University in 2001, 25 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
25
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
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

1 Columbia St Dra Imaging Pc
Poughkeepsie, NY 12601-3923
Phone: (845) 454-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 231881 (NY)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 231881 (NY)

Record details

NPI number1265520779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 1, 2008
Mailing address15 Bittersweet Ln, Glen Cove, NY 11542-1617

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations36 on file with Medicare

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