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BRIAN SANGWOOK KIM MD
NPI 1508626813
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 21, 2024PECOS Enrolled
820 S WOOD ST STE 100, CHICAGO, IL 60612(293) 331-2996 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Brian Sangwook Kim Md NPPES

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

BRIAN SANGWOOK KIM MD (NPI 1508626813) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508626813
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN SANGWOOK KIMCredential: MD
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (293) 331-2996
Phone(293) 331-2996
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1508626813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 125084826 (IL)
820 S WOOD ST STE 100, Chicago, IL 60612
Open in Google Maps ↗

Other Identifiers 1

Other125084826IL · Temporary Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Sangwook 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.

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.

CAILEAN ELLIOT MCKAY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
KATHERINE ELIZABETH WINEBRAKE
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. RYAN WANG BS
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
ABHISHEK DESHPANDE MD
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 413-2048
JEFFREY CARL PETERSON MD, PHD
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MAY BARAKAT
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
IMARI C MCCULLOUGH
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
LIISA M BAUMANN MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Brian Kim's NPI number?

The NPI number for Brian Kim is 1508626813. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Brian Kim located?

Brian Kim practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (293) 331-2996.

What is Brian 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 Brian Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brian Kim was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.