SOOBIN KIM
NPI 1376284885
Student in an Organized Health Care Education/Training Program in Boston, MA
About Soobin Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOOBIN KIM (NPI 1376284885) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soobin Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Soobin Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Soobin Kim's NPI number?
The NPI number for Soobin Kim is 1376284885. It was assigned to this individual provider in the NPPES registry on April 6, 2022. The provider is also known as Soo Bin Kim.
Where is Soobin Kim located?
Soobin Kim practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.
What is Soobin 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 Soobin Kim enrolled in Medicare?
Yes. Soobin Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Soobin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soobin Kim reassigns Medicare benefits to 2 organizations: Stanford Health Care (Pleasanton, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soobin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Soobin Kim was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Soobin Kim · NPI 1376284885
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1376284885 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6110
- **Phone:** (617) 732-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1124561758, Pleasanton, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2022
## Record status
- **NPPES last updated:** April 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376284885) · Data from the CMS NPPES public registry.