BYUNG JAE KIM MD
NPI 1245735760
Student in an Organized Health Care Education/Training Program in Cambridge, MA

Q: What is Byung Jae Kim's NPI number?

The NPI number for Byung Jae Kim is 1245735760. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Byung Jae 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 Byung Jae Kim was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 27, 2018PECOS Enrolled

1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-1000 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Byung Jae Kim Md NPPES

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

BYUNG JAE KIM MD (NPI 1245735760) is an individual student in an organized health care education/training program in Cambridge, Massachusetts and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245735760

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBYUNG JAE KIMCredential: MD

Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047

Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 665-1000

Phone(617) 665-1000

Sole ProprietorNo

Enumeration DateMarch 27, 2018

✔ NPI 1245735760 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.

1493 CAMBRIDGE ST, Cambridge, MA 02139

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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)

Byung Jae Kim Md 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.

ZACHARY OLIFF DO

Emergency Medicine