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JOAANE KIM MD
NPI 1114715661
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 25, 2025PECOS Enrolled
601 ELMWOOD AVE # 664, ROCHESTER, NY 14642(585) 276-8394 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joaane Kim Md NPPES

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

JOAANE KIM MD (NPI 1114715661) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114715661
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJOAANE KIMCredential: MD
Location Address601 ELMWOOD AVE # 664Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave # 664Rochester, NY 14642-0001 · (585) 276-8394
Phone(585) 276-8394
Sole ProprietorNo
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1114715661 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.
601 ELMWOOD AVE # 664, Rochester, NY 14642
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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)

Joaane 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 2

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

PATRICK O'CONNOR MD
Physical Medicine & Rehabilitation
601 ELMWOOD AVE # 664
ROCHESTER, NY 14642
Monroe County (585) 275-3274
MR. SIMON A CARSON MBA, OT/L
Occupational Therapist
601 ELMWOOD AVE # 664
ROCHESTER, NY 14642
Monroe County (585) 275-1715

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 Joaane Kim's NPI number?

The NPI number for Joaane Kim is 1114715661. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Joaane Kim located?

Joaane Kim practices at 601 Elmwood Ave # 664, Rochester, NY 14642. The listed phone number is (585) 276-8394.

What is Joaane 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 Joaane Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joaane Kim was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.