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ALEXANDER YONGDOK KIM DO
NPI 1285582478
Student in an Organized Health Care Education/Training Program in Overland Park, KS

Active since March 21, 2026PECOS Enrolled
12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215(719) 641-9655 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexander Yongdok Kim Do NPPES

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

ALEXANDER YONGDOK KIM DO (NPI 1285582478) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285582478
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER YONGDOK KIMCredential: DO
Location Address12200 W 106TH ST STE 325Overland Park, KS 66215-2381
Mailing Address12200 W 106th St Ste 325Overland Park, KS 66215-2381 · (719) 641-9655
Phone(719) 641-9655
Sole ProprietorNo
Enumeration DateMarch 21, 2026
NPPES CertifiedMarch 21, 2026
✔ NPI 1285582478 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.
12200 W 106TH ST STE 325, Overland Park, KS 66215
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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)

Alexander Yongdok Kim Do 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 17

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

JOSHUA HAN SUNG PAK DO
Internal Medicine
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
SPENCER AUSTIN HALL MD
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
MALLORY JEAN LANIER LEHR MD
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 541-6072
DANIYA MOZAFFAR
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (816) 482-6810
DENNIS NGUYEN
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
PATRICIA PEMBERTON LARAMORE DO
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
CODY MOORE
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
COURTNEY K DELONG
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 541-6072

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 Alexander Kim's NPI number?

The NPI number for Alexander Kim is 1285582478. It was assigned to this individual provider in the NPPES registry on March 21, 2026.

Where is Alexander Kim located?

Alexander Kim practices at 12200 W 106th St Ste 325, Overland Park, KS 66215. The listed phone number is (719) 641-9655.

What is Alexander 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 Alexander Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexander Kim was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.