PAUL KIM DO
NPI 1396232468
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Paul Kim's NPI number?

The NPI number for Paul Kim is 1396232468. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Q: What is Paul 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 Paul Kim was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 15, 2018PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-1892 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 27, 2025, Apr 15, 2018 (2 updates tracked since 2018).

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About Paul Kim Do NPPES

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

PAUL KIM DO (NPI 1396232468) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396232468

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePAUL KIMCredential: DO

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address3901 Beaubien StDetroit, MI 48201-2119 · (313) 745-1892

Phone(313) 745-1892

Sole ProprietorNo

Enumeration DateApril 15, 2018

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

✔ NPI 1396232468 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.

3901 BEAUBIEN ST, Detroit, MI 48201

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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)

Paul 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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)