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

JEONG HOON KIM MD
NPI 1306536495
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 11, 2023PECOS Enrolled
1200 N STATE STREET IRD ROOM 701, LOS ANGELES, CA 90089(412) 681-4989 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeong Hoon Kim Md NPPES

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

JEONG HOON KIM MD (NPI 1306536495) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306536495
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEONG HOON KIMCredential: MD
Location Address1200 N STATE STREET IRD ROOM 701Los Angeles, CA 90089-0001
Mailing Address1200 N State Street Ird Room 701Los Angeles, CA 90089-0001
Phone(412) 681-4989
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1306536495 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.
1200 N STATE STREET IRD ROOM 701, Los Angeles, CA 90089
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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)

Jeong Hoon 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.

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 Jeong Hoon Kim's NPI number?

The NPI number for Jeong Hoon Kim is 1306536495. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Jeong Hoon Kim located?

Jeong Hoon Kim practices at 1200 N State Street Ird Room 701, Los Angeles, CA 90089. The listed phone number is (412) 681-4989.

What is Jeong Hoon 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 Jeong Hoon Kim enrolled in Medicare?

Yes. Jeong Hoon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeong Hoon Kim was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.