WOONG KI KIM
NPI 1205630795
Student in an Organized Health Care Education/Training Program in Burlington, VT

Q: What is Woong Kim's NPI number?

The NPI number for Woong Kim is 1205630795. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Woong 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 Woong Kim was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 03, 2025PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Woong Ki Kim NPPES

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

WOONG KI KIM (NPI 1205630795) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205630795

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWOONG KI KIM

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address255 Quarry Hill Rd Apt 240South Burlington, VT 05403-6398 · (339) 223-7412

Phone(802) 847-2345

Sole ProprietorYes

Enumeration DateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1205630795 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.

111 COLCHESTER AVE, Burlington, VT 05401

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woong Ki Kim 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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Student in an Organized Health Care Education/Training Program