YESEUL KIM M.D
NPI 1386376077
Physical Medicine & Rehabilitation in Fort Wayne, IN
About Yeseul Kim M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YESEUL KIM M.D (NPI 1386376077) is an individual physical medicine & rehabilitation provider in Fort Wayne, Indiana, licensed in Indiana (01099717A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yeseul Kim M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yeseul Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 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.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Yeseul Kim's NPI number?
The NPI number for Yeseul Kim is 1386376077. It was assigned to this individual provider in the NPPES registry on June 30, 2022.
Where is Yeseul Kim located?
Yeseul Kim practices at 2231 Carew St, Fort Wayne, IN 46805. The listed phone number is (260) 425-6780.
What is Yeseul Kim's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Yeseul Kim enrolled in Medicare?
Yes. Yeseul Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yeseul Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yeseul Kim reassigns Medicare benefits to Parkview Health System,inc. (Fort Wayne, IN). The 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 Yeseul Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yeseul Kim accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Yeseul Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Yeseul Kim was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.