DR. MINJAE KIM MD
NPI 1073281408
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Dr. Minjae Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MINJAE KIM MD (NPI 1073281408) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Minjae Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Minjae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80204
- Reassigned Medicare billing, Colorado enrollment
- 2,259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
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 Minjae Kim's NPI number?
The NPI number for Minjae Kim is 1073281408. It was assigned to this individual provider in the NPPES registry on August 31, 2021.
Where is Minjae Kim located?
Minjae Kim practices at 374 Stockholm St, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.
What is Minjae 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 Minjae Kim enrolled in Medicare?
Yes. Minjae Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Minjae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minjae Kim reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minjae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Minjae Kim was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Minjae Kim, MD · NPI 1073281408
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 31, 2021.
## Identity
- **NPI:** 1073281408 (Entity type: Individual)
- **Enumerated:** August 31, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 374 STOCKHOLM ST, Brooklyn, NY 11237-4006
- **Phone:** (718) 963-7272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Denver Health And Hospital Authority (NPI 1477569838, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073281408) · Data from the CMS NPPES public registry.