KIDONG KIM MD
NPI 1023703196
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 05, 2023PECOS Enrolled
2380 SUTTER ST FL 3, SAN FRANCISCO, CA 94115(415) 353-2757 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kidong Kim Md NPPES

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

KIDONG KIM MD (NPI 1023703196) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023703196
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIDONG KIMCredential: MD
Location Address2380 SUTTER ST FL 3San Francisco, CA 94115-3006
Mailing Address2380 Sutter St Fl 3San Francisco, CA 94115-3006
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1023703196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2380 SUTTER ST FL 3, San Francisco, CA 94115

Other Names 1

Other Name (5)Eric Kim Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kidong Kim Md 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 7

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

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115
Pediatrics
2380 SUTTER ST FL 3, OCCUPATIONAL MEDICINE PEHSU
SAN FRANCISCO, CA 94115
Physician Assistant (Surgical)
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115
Preventive Medicine (Occupational Medicine)
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115
Otolaryngology (Plastic Surgery within the Head & Neck)
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115
Otolaryngology
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115
Student in an Organized Health Care Education/Training Program
2380 SUTTER ST FL 3
SAN FRANCISCO, CA 94115

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 Kidong Kim's NPI number?

The NPI number for Kidong Kim is 1023703196. It was assigned to this individual provider in the NPPES registry on April 5, 2023. The provider is also known as Eric Kim MD.

Where is Kidong Kim located?

Kidong Kim practices at 2380 Sutter St Fl 3, San Francisco, CA 94115. The listed phone number is (415) 353-2757.

What is Kidong 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 Kidong Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kidong Kim was last updated on April 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.