MR. YONG CHAN KIM M.D.
NPI 1104563675
Student in an Organized Health Care Education/Training Program in Weslaco, TX
About Mr. Yong Chan Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. YONG CHAN KIM M.D. (NPI 1104563675) is an individual student in an organized health care education/training program in Weslaco, Texas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Weslaco, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Yong Chan Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESLACO, TX 78596
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 Yong Chan Kim's NPI number?
The NPI number for Yong Chan Kim is 1104563675. It was assigned to this individual provider in the NPPES registry on May 17, 2022.
Where is Yong Chan Kim located?
Yong Chan Kim practices at 1330 East 6th Street, Suite 105, Weslaco, TX 78596. The listed phone number is (956) 296-7722.
What is Yong Chan 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 Yong Chan Kim enrolled in Medicare?
Yes. Yong Chan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Yong Chan Kim was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Yong Chan Kim, M.D. · NPI 1104563675
Student in an Organized Health Care Education/Training Program provider in Weslaco, Texas. Individual provider, active in the CMS NPPES registry since May 17, 2022.
## Identity
- **NPI:** 1104563675 (Entity type: Individual)
- **Enumerated:** May 17, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1330 EAST 6TH STREET, SUITE 105, Weslaco, TX 78596
- **Phone:** (956) 296-7722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104563675) · Data from the CMS NPPES public registry.