Kyu-Jin Kim, M.D.
General Practice Physician · Manlius, NY
Kyu-Jin Kim, M.D. is a general practice physician with a practice address in Manlius, New York, and NPI 1215289491, issued on Oct 11, 2012. Check the license (New York 123715, as entered in NPPES) on the NYS Education Department, Office of the Professions; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kyu-Jin Kim
- Credential
- M.D.
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- 123715 NY
Self-reported in NPPES; status is on the state search - Practice location
- 7575 Firebird Lane, Manlius, NY 13104
- Phone
- (315) 682-7185
- Enumerated
- Oct 11, 2012
- Record last updated
- Oct 11, 2012 (not updated in 14 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Verify Kyu-Jin Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 123715Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
General Practice Physician providers in New York
There are 681 general practice physician records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
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Common questions
What is Kyu-Jin Kim, M.D.'s NPI number?
Kyu-Jin Kim, M.D.'s National Provider Identifier (NPI) is 1215289491, issued on Oct 11, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Kyu-Jin Kim, M.D. located?
The NPPES record lists a practice address at 7575 Firebird Lane, Manlius, NY, 13104. Phone: (315) 682-7185. Providers update this record themselves, so call before visiting.
How can I verify Kyu-Jin Kim, M.D.'s license?
NPPES lists New York license number 123715, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.