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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,926 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
BROOKE ALISON BENOWITZ
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-4883
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414

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 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.

Where is Paul Kim located?

Paul Kim practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-1892.

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.

Is Paul Kim enrolled in Medicare?

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

Which organization bills Medicare for Paul Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Paul 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 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 16 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.