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DR. JEEHO DAMIAN KIM MD
NPI 1316409667
Military Health Care Provider in Jb Andrews, MD

Active since April 04, 2019PECOS Enrolled
1 SAN DIEGO LOOP BLDG 3282, JB ANDREWS, MD 20762(240) 303-2050 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2021, Apr 4, 2019 (2 updates tracked since 2019).

About Dr. Jeeho Damian Kim Md NPPES

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

DR. JEEHO DAMIAN KIM MD (NPI 1316409667) is an individual military health care provider provider in Jb Andrews, Maryland, licensed in Virginia (0101270560) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316409667
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. JEEHO DAMIAN KIMCredential: MD
Location Address1 SAN DIEGO LOOP BLDG 3282Jb Andrews, MD 20762-5518
Mailing Address1 San Diego Loop Bldg 3282Jb Andrews, MD 20762-5518
Phone(240) 303-2050
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateApril 9, 20212 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1316409667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in VA · 0101270560
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

1 SAN DIEGO LOOP BLDG 3282, Jb Andrews, MD 20762
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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)

Dr. Jeeho Damian 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 2

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

MARK EDWARD GRAFTON NAVY IDC
Military Health Care Provider (Independent Duty Corpsman)
1 SAN DIEGO LOOP BLDG 3282, NAVAL AIR FACILITY BRANCH HEALTH AND DENTAL C
ANDREWS AFB, MD 20762
Prince George's County (240) 857-2850
MR. WIL MORALES PA
Physician Assistant (Medical)
1 SAN DIEGO LOOP BLDG 3282, ANDREWS AFB
ANDREWS AIR FORCE BASE, MD 20762
Prince George's County (240) 857-2862

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 Jeeho Kim's NPI number?

The NPI number for Jeeho Kim is 1316409667. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Jeeho Kim located?

Jeeho Kim practices at 1 San Diego Loop Bldg 3282, Jb Andrews, MD 20762. The listed phone number is (240) 303-2050.

What is Jeeho Kim's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Jeeho Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeeho Kim was last updated on April 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.