EONSOO KIM
NPI 1215225701
Dentist - Pediatric Dentistry in Greenville, NC
About Eonsoo Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EONSOO KIM (NPI 1215225701) is an individual pediatric dentistry provider in Greenville, North Carolina, licensed in North Carolina (13363) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eonsoo Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eonsoo Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 930 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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 Eonsoo Kim's NPI number?
The NPI number for Eonsoo Kim is 1215225701. It was assigned to this individual provider in the NPPES registry on July 18, 2011.
Where is Eonsoo Kim located?
Eonsoo Kim practices at 1851 Macgregor Downs Rd, Greenville, NC 27834. The listed phone number is (252) 737-7000.
What is Eonsoo Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Eonsoo Kim enrolled in Medicare?
Yes. Eonsoo Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eonsoo Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eonsoo Kim reassigns Medicare benefits to East Carolina University (Greenville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eonsoo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eonsoo Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 2 other insurers list Eonsoo 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 Eonsoo Kim was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eonsoo Kim · NPI 1215225701
Pediatric Dentistry provider in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since July 18, 2011.
## Identity
- **NPI:** 1215225701 (Entity type: Individual)
- **Enumerated:** July 18, 2011
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 13363 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1851 MACGREGOR DOWNS RD, Greenville, NC 27834-5925
- **Phone:** (252) 737-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** East Carolina University (NPI 1316324411, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215225701) · Data from the CMS NPPES public registry.