HEEHO KIM M.D.
NPI 1194391359
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is Heeho Kim's NPI number?

The NPI number for Heeho Kim is 1194391359. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Q: What is Heeho Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Heeho Kim was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2021PECOS Enrolled

1215 LEE ST BOX 800710, CHARLOTTESVILLE, VA 22908(434) 982-0629(434) 982-0019 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Jul 21, 2022, May 28, 2021 (3 updates tracked since 2021).

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About Heeho Kim M.d. NPPES

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

HEEHO KIM M.D. (NPI 1194391359) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040507) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194391359

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHEEHO KIMCredential: M.D.

Location Address1215 LEE ST BOX 800710Charlottesville, VA 22908-0816

Mailing Address1215 Lee St Box 800710Charlottesville, VA 22908-0816 · (434) 982-0629 · Fax (434) 982-0019

Phone(434) 982-0629

Fax(434) 982-0019

Sole ProprietorNo

Enumeration DateMay 28, 2021

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1194391359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in VA · 0116040507

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.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MT226069 (PA)

1215 LEE ST BOX 800710, Charlottesville, VA 22908

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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)

Heeho 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.

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