DR. JIN BUM KIM M.D.
NPI 1316635568
Student in an Organized Health Care Education/Training Program in Sayre, PA

Q: What is Jin Bum Kim's NPI number?

The NPI number for Jin Bum Kim is 1316635568. It was assigned to this individual provider in the NPPES registry on April 26, 2023. The provider is also known as Jack Kim.

Q: What is Jin Bum Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Bum Kim was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 26, 2023PECOS Enrolled

ONE GUTHRIE SQUARE GRADUATE, MEDICAL EDUCATION GUTHRIE/ROBERT PACKER HOSPITAL, SAYRE, PA 18840(570) 888-6666 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jin Bum Kim M.d. NPPES

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

DR. JIN BUM KIM M.D. (NPI 1316635568) is an individual student in an organized health care education/training program in Sayre, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316635568

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JIN BUM KIMCredential: M.D.

Location AddressONE GUTHRIE SQUARE GRADUATE, MEDICAL EDUCATION GUTHRIE/ROBERT PACKER HOSPITALSayre, PA 18840

Mailing AddressOne Guthrie Square Graduate, Medical Education Guthrie/robert Packer HospitalSayre, PA 18840 · (570) 888-6666

Phone(570) 888-6666

Sole ProprietorNo

Enumeration DateApril 26, 2023

Last NPPES UpdateAugust 7, 2023

NPPES CertifiedAugust 7, 2023

✔ NPI 1316635568 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.

ONE GUTHRIE SQUARE GRADUATE, Sayre, PA 18840

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Other Names 1

Former Name (1)Jack Kim

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. Jin Bum Kim M.d. 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 Jin Bum Kim's NPI number?

The NPI number for Jin Bum Kim is 1316635568. It was assigned to this individual provider in the NPPES registry on April 26, 2023. The provider is also known as Jack Kim.

Where is Jin Bum Kim located?

Jin Bum Kim practices at One Guthrie Square Graduate Medical Education Guthrie/Robert Packer Hospital, Sayre, PA 18840. The listed phone number is (570) 888-6666.

What is Jin Bum 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 Jin Bum Kim enrolled in Medicare?

Yes. Jin Bum Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jin Bum Kim was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.