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DR. RENEE ROSA KIM DMD
NPI 1184153561
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since June 08, 2017PECOS Enrolled
789 HOWARD AVE, NEW HAVEN, CT 06510(203) 688-2464 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 8, 2017 (2 updates tracked since 2017).

About Dr. Renee Rosa Kim Dmd NPPES

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

DR. RENEE ROSA KIM DMD (NPI 1184153561) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184153561
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RENEE ROSA KIMCredential: DMD
Location Address789 HOWARD AVENew Haven, CT 06510
Mailing Address789 Howard AveNew Haven, CT 06519-1304 · (203) 688-2464
Phone(203) 688-2464
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1184153561 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.
789 HOWARD AVE, New Haven, CT 06510
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renee Rosa Kim Dmd 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

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

MS. PATRICIA JACKSON ALLEN APRN PNP
Nurse Practitioner (Pediatrics)
789 HOWARD AVE, YNHH PRIMARY CARE CENTER
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-2345

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 Renee Kim's NPI number?

The NPI number for Renee Kim is 1184153561. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Renee Kim located?

Renee Kim practices at 789 Howard Ave, New Haven, CT 06510. The listed phone number is (203) 688-2464.

What is Renee 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 Renee Kim enrolled in Medicare?

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

What insurance does Renee Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Renee Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renee Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.