DR. KYUNG WON KIM M.D.
NPI 1194086546
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 01, 2012PECOS Enrolled
450 BROOKLINE AVE, IMAGING DEPARTMENT OF DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215(617) 632-4891 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kyung Won Kim M.d. NPPES

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

DR. KYUNG WON KIM M.D. (NPI 1194086546) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (250433) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194086546
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KYUNG WON KIMCredential: M.D.
Location Address450 BROOKLINE AVE, IMAGING DEPARTMENT OF DANA-FARBER CANCER INSTITUTEBoston, MA 02215-5418
Mailing Address450 Brookline Ave, Imaging Department Of Dana-farber Cancer InstituteBoston, MA 02215-5418 · (617) 415-3713
Sole ProprietorNo
Enumeration DateJune 1, 2012
Last NPPES UpdateJune 4, 2012
NPI 1194086546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 250433
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.
450 BROOKLINE AVE, Boston, MA 02215

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. Kyung Won Kim M.d. 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 20

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

Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215

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 Kyung Won Kim's NPI number?

The NPI number for Kyung Won Kim is 1194086546. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Kyung Won Kim located?

Kyung Won Kim practices at 450 Brookline Ave Imaging Department Of Dana-Farber Cancer Institute, Boston, MA 02215. The listed phone number is (617) 632-4891.

What is Kyung Won 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 Kyung Won Kim enrolled in Medicare?

Yes. Kyung Won Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyung Won Kim was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.