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GRACE H KIM MD
NPI 1124777628
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since March 22, 2022PECOS Enrolled
1808 7TH AVENUE SOUTH BOSHELL DIABETES BUILDING RM 396, BIRMINGHAM, AL 35294(205) 996-9752 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grace H Kim Md NPPES

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

GRACE H KIM MD (NPI 1124777628) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124777628
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE H KIMCredential: MD
Location Address1808 7TH AVENUE SOUTH BOSHELL DIABETES BUILDING RM 396Birmingham, AL 35294-2605
Mailing Address1720 2nd Ave S # Bdb355Birmingham, AL 35294-0004 · (206) 996-9752
Phone(205) 996-9752
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1124777628 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.

1808 7TH AVENUE SOUTH BOSHELL DIABETES BUILDING RM 396, Birmingham, AL 35294
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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)

Grace H 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.

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1124777628. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Grace Kim located?

Grace Kim practices at 1808 7th Avenue South Boshell Diabetes Building Rm 396, Birmingham, AL 35294. The listed phone number is (205) 996-9752.

What is Grace 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 Grace Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.