1. Home
  2. Directory
  3. Florida
  4. Winter Park
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JOONO KIM MD
NPI 1255958690
Student in an Organized Health Care Education/Training Program in Winter Park, FL

Active since July 01, 2020PECOS Enrolled
133 BENMORE DR STE 200, WINTER PARK, FL 32792(407) 646-7070 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joono Kim Md NPPES

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

JOONO KIM MD (NPI 1255958690) is an individual student in an organized health care education/training program in Winter Park, Florida, licensed in Florida (31473) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255958690
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOONO KIMCredential: MD
Location Address133 BENMORE DR STE 200Winter Park, FL 32792-4111
Mailing Address1780 Welham St Apt 336Orlando, FL 32814-6847 · (778) 233-5012
Phone(407) 646-7070
Sole ProprietorNo
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1255958690 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
License✔ Licensed in FL · 31473
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.
133 BENMORE DR STE 200, Winter Park, FL 32792
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joono 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.

TRISTA F HUGHES DO
Family Medicine
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
ANDREW POWIS MD
Student in an Organized Health Care Education/Training Program
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (746) 646-7469
MOHIT NAKHWAL
Student in an Organized Health Care Education/Training Program
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 923-9152
JOMEO PADAVIL MD
Hospitalist
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
DR. PETER JOHN WEISS M.D.
Internal Medicine (Geriatric Medicine)
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
DR. TIFFANY SMITH-SUTTON MD
Obstetrics & Gynecology (Obstetrics)
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
NICHOLE GIOVANNA RAMIREZ
Family Medicine
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
DR. ERNESTINE MILLER LEE MD, MPH
Family Medicine
133 BENMORE DR STE 200
WINTER PARK, FL 32792
Orange County (407) 646-7757

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 Joono Kim's NPI number?

The NPI number for Joono Kim is 1255958690. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Joono Kim located?

Joono Kim practices at 133 Benmore Dr Ste 200, Winter Park, FL 32792. The listed phone number is (407) 646-7070.

What is Joono Kim's specialty?

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

Is Joono Kim enrolled in Medicare?

Yes. Joono Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joono Kim was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.