1. Home
  2. Directory
  3. Florida
  4. St Cloud
  5. General Practice
  6. NPI Profile

SEONG CHEOL KIM MD
NPI 1457351702
General Practice in St Cloud, FL

Active since July 28, 2005PECOS Enrolled
2647 MEADOWWEDGE LOOP, ST CLOUD, FL 34772(407) 793-4608(269) 651-1411 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seong Cheol Kim Md NPPES

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

SEONG CHEOL KIM MD (NPI 1457351702) is an individual general practice provider in St Cloud, Florida, licensed in Michigan (4301039276) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457351702
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSEONG CHEOL KIMCredential: MD
Location Address2647 MEADOWWEDGE LOOPSt Cloud, FL 34772
Mailing Address2647 Meadowwedge LoopSt Cloud, FL 34772 · (407) 793-4608 · Fax (269) 651-1411
Phone(407) 793-4608
Fax(269) 651-1411
Sole ProprietorYes
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 17, 2023
✔ NPI 1457351702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in MI · 4301039276✔ Licensed in MI · SK039276
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 039276 (MI)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 039276 (MI)
2647 MEADOWWEDGE LOOP, St Cloud, FL 34772
Open in Google Maps ↗

Other Identifiers 1

Medicaid4542300MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seong Cheol Kim Md 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.

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 Seong Kim's NPI number?

The NPI number for Seong Kim is 1457351702. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Seong Kim located?

Seong Kim practices at 2647 Meadowwedge Loop, St Cloud, FL 34772. The listed phone number is (407) 793-4608.

What is Seong Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Seong Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Seong Kim was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.