Randie Kim, MD, PHD
NPI 1104059773 · Dermatology Physician · New York, NY
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randie Kim, MD, PHD is a Dermatology Physician provider in New York, NY (NPI 1104059773).
Provider details
- NPI number
- 1104059773
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 275296 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-31
- Last updated
- 2017-01-03
Frequently asked questions
- What is Randie Kim's NPI number?
- Randie Kim's National Provider Identifier (NPI) is 1104059773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randie Kim's specialty?
- Randie Kim is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Randie Kim located?
- Randie Kim's practice location on file with NPPES is 550 First Avenue, New York, NY 10016.
- What is Randie Kim's phone number?
- The practice phone number listed in the NPPES registry for Randie Kim is (212) 263-5506.
- Does Randie Kim accept Medicare?
- Randie Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randie Kim's NPI active?
- Yes — Randie Kim's NPI (1104059773) is active in the NPPES registry as of the last update on 2017-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.