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

SEON WOO KIM MD
NPI 1275238693
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 04, 2023PECOS Enrolled
8414 NAAB ROAD, SUITE 215, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7783 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, Apr 4, 2023 (2 updates tracked since 2023).

About Seon Woo Kim Md NPPES

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

SEON WOO KIM MD (NPI 1275238693) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275238693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEON WOO KIMCredential: MD
Location Address8414 NAAB ROAD, SUITE 215Indianapolis, IN 46260
Mailing Address8414 Naab Road, Suite 215Indianapolis, IN 46260 · (317) 338-7510 · Fax (317) 338-7783
Phone(317) 338-7510
Fax(317) 338-7783
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1275238693 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.

8414 NAAB ROAD, Indianapolis, IN 46260
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)

Seon Woo 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAJALA AMAN M.D
Student in an Organized Health Care Education/Training Program
8414 NAAB ROAD, SUITE 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
DIEGO TAPIA M.D.
Student in an Organized Health Care Education/Training Program
8414 NAAB ROAD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
MR. SYED MUHAMMAD KHIZER ANEES M.D
Internal Medicine
8414 NAAB ROAD, SUITE NUMBER: 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
MS. VICTORIA TAITE NICKERSON
Student in an Organized Health Care Education/Training Program
8414 NAAB ROAD, SUITE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ELIZABETTE GUERRETTAZ JOHNSON D.O.
Family Medicine
8414 NAAB ROAD, SUITE 120
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510

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 Seon Woo Kim's NPI number?

The NPI number for Seon Woo Kim is 1275238693. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Seon Woo Kim located?

Seon Woo Kim practices at 8414 Naab Road Suite 215, Indianapolis, IN 46260. The listed phone number is (317) 338-7510.

What is Seon Woo 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 Seon Woo Kim enrolled in Medicare?

Yes. Seon Woo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Seon Woo Kim was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.