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CORY KIM
NPI 1013677459
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since December 27, 2021PECOS Enrolled
774 PRIOR HALL, 376 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8306 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cory Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY KIM (NPI 1013677459) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013677459
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCORY KIM
Location Address774 PRIOR HALL, 376 W 10TH AVEColumbus, OH 43210
Mailing Address376 W 10th AveColumbus, OH 43210-1280 · (614) 293-8306
Phone(614) 293-8306
Sole ProprietorNo
Enumeration DateDecember 27, 2021
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 24, 2024
✔ NPI 1013677459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
774 PRIOR HALL, 376 W 10TH AVE, Columbus, OH 43210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA VICTORIA MARTINEZ
Student in an Organized Health Care Education/Training Program
774 PRIOR HALL, 376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Kim's NPI number?

The NPI number for Cory Kim is 1013677459. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Cory Kim located?

Cory Kim practices at 774 Prior Hall, 376 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8306.

What is Cory Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cory Kim enrolled in Medicare?

Yes. Cory Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cory Kim was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.