Ks Podiatry PC
NPI 1710220561 · Foot & Ankle Surgery Podiatrist · Bayside, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ks Podiatry PC is a Foot & Ankle Surgery Podiatrist organization in Bayside, NY (NPI 1710220561).
Provider details
- NPI number
- 1710220561
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kwangsu Kim, President(718) 229-9200
- License
- N006264 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-03-30
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Ks Podiatry PC's NPI number?
- Ks Podiatry PC's National Provider Identifier (NPI) is 1710220561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ks Podiatry PC?
- Ks Podiatry PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Ks Podiatry PC located?
- Ks Podiatry PC's practice location on file with NPPES is 21909 Northern Blvd, Bayside, NY 11361-3525.
- What is Ks Podiatry PC's phone number?
- The practice phone number listed in the NPPES registry for Ks Podiatry PC is (718) 229-9200.
- Does Ks Podiatry PC accept Medicare?
- Ks Podiatry PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ks Podiatry PC?
- The authorized official listed on Ks Podiatry PC's NPPES record is Kwangsu Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ks Podiatry PC's NPI active?
- Yes — Ks Podiatry PC's NPI (1710220561) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.