SUSAN JIN KIM MD
NPI 1366019051
Student in an Organized Health Care Education/Training Program in Charlottesville, VA
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About SUSAN KIM
This page provides the complete NPI Profile along with additional information for Susan Kim, a primary care provider established in Charlottesville, Virginia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1366019051 assigned on June 2021. The practitioner's primary taxonomy code is 390200000X with license number 0101282196 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1366019051 Verify this NPI
- Provider Name
- SUSAN JIN KIM MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1215 LEE STREET BOX #800719 CHARLOTTESVILLE, VA 22908
- Location Phone
- (434) 924-2150
- Mailing Address
- 1215 LEE STREET BOX #800719 CHARLOTTESVILLE, VA 22908
- Mailing Phone
- (434) 924-2150
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2021
- Last Update Date
- 06-11-2025
- Code Navigator
A primary care provider (PCP) like Susan Kim sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 759 Chestnut St
Springfield, MA 01199
(413) 794-0000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 0101282196
- License State
- VA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Susan Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366019051, enumerated as an "individual" on June 10, 2021.
The provider is located at 1215 LEE STREET BOX #800719 CHARLOTTESVILLE, VA 22908 and the phone number is (434) 924-2150.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
