EDWARD SUNGYEOL SIM MD
NPI 1205576188
Student in an Organized Health Care Education/Training Program in Boston, MA
About Edward Sungyeol Sim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD SUNGYEOL SIM MD (NPI 1205576188) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (294022) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward Sungyeol Sim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02114
BOSTON, MA 02114
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 Edward Sim's NPI number?
The NPI number for Edward Sim is 1205576188. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Edward Sim located?
Edward Sim practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-3654.
What is Edward Sim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Edward Sim enrolled in Medicare?
Yes. Edward Sim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edward Sim was last updated on June 28, 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.
# Edward Sungyeol Sim, MD · NPI 1205576188
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1205576188 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 294022 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 243 CHARLES ST, Boston, MA 02114-3096
- **Phone:** (617) 573-3654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205576188) · Data from the CMS NPPES public registry.