SUNGWON KIM DMD
NPI 1477129294
Student in an Organized Health Care Education/Training Program in Boston, MA
About Sungwon Kim Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNGWON KIM DMD (NPI 1477129294) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sungwon Kim Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Sungwon Kim's NPI number?
The NPI number for Sungwon Kim is 1477129294. It was assigned to this individual provider in the NPPES registry on June 2, 2021.
Where is Sungwon Kim located?
Sungwon Kim practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-7558.
What is Sungwon 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 Sungwon Kim enrolled in Medicare?
Yes. Sungwon Kim is registered in the Medicare PECOS enrollment system.
What insurance does Sungwon Kim accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Sungwon 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 Sungwon Kim was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sungwon Kim, DMD · NPI 1477129294
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1477129294 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BOSTON MEDICAL CTR PL, Boston, MA 02118-2908
- **Phone:** (617) 414-7558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477129294) · Data from the CMS NPPES public registry.