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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JASON KIM DO
NPI 1346802774
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since July 05, 2019PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jul 5, 2019 (2 updates tracked since 2019).

About Jason Kim Do NPPES

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

JASON KIM DO (NPI 1346802774) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346802774
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON KIMCredential: DO
Location Address100 N ACADEMY AVEDanville, PA 17822-9800
Mailing Address100 N Academy AveDanville, PA 17822-9800
Phone(570) 271-6211
Sole ProprietorNo
Enumeration DateJuly 5, 2019
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1346802774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPharmacistTaxonomy 183500000X · License 79356 (CA)
100 N ACADEMY AVE, Danville, PA 17822
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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)

Jason 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 20

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

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1346802774. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Jason Kim located?

Jason Kim practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6211.

What is Jason 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 Jason Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.