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MIN JUNG KOH
NPI 1033904974
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since April 11, 2025PECOS Enrolled
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, May 5, 2025, Apr 11, 2025 (3 updates tracked since 2025).

About Min Jung Koh NPPES

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

MIN JUNG KOH (NPI 1033904974) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP06592) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033904974
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIN JUNG KOH
Location Address245 CHAPMAN ST STE 300Providence, RI 02905-4539
Mailing Address245 Chapman St Ste 300Providence, RI 02905-4539 · (401) 444-4741 · Fax (401) 444-4445
Phone(401) 444-4741
Fax(401) 444-4445
Sole ProprietorNo
Enumeration DateApril 11, 2025
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1033904974 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
License✔ Licensed in RI · LP06592
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.
245 CHAPMAN ST STE 300, Providence, RI 02905
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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)

Min Jung Koh 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 20

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

MARTHA CATHERINE TRIMBUR MD
Internal Medicine
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
TANISHA SOUSA AMARAL RD, LDN
Dietitian, Registered
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-7152
MS. NANCY LOUISE HARRITOS RNP
Nurse Practitioner (Family)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
DR. MEGAN SCALIA PHARMD
Pharmacist (Ambulatory Care)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
DR. JILLIAN CERULLO PHARMD
Pharmacist (Ambulatory Care)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-9033
CECILY ADLER MD
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
EDWARD COLIN DAINGERFIELD MD
Internal Medicine
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-5280
MEAV TAN AINLEY RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 606-6320

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 Min Jung Koh's NPI number?

The NPI number for Min Jung Koh is 1033904974. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Min Jung Koh located?

Min Jung Koh practices at 245 Chapman St Ste 300, Providence, RI 02905. The listed phone number is (401) 444-4741.

What is Min Jung Koh's specialty?

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

Is Min Jung Koh enrolled in Medicare?

Yes. Min Jung Koh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Min Jung Koh was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.