Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHELLE EUNJEE KIM D.O.
NPI 1295312924
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since March 27, 2021PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8888 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 8, 2026, Mar 27, 2021 (2 updates tracked since 2021).

About Dr. Michelle Eunjee Kim D.o. NPPES

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

DR. MICHELLE EUNJEE KIM D.O. (NPI 1295312924) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1295312924
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHELLE EUNJEE KIMCredential: D.O.
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address101 The City Dr SOrange, CA 92868-3201 · (714) 456-8888
Sole ProprietorNo
Enumeration DateMarch 27, 2021
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
NPI 1295312924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 20A25753 (CA)
101 THE CITY DR S, Orange, CA 92868

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (703) 629-6515

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michelle Eunjee Kim D.o. 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.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1295312924. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Michelle Kim located?

Michelle Kim practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.

What is Michelle 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 Michelle Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Kim was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.