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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. WILLIAM YEONSOO KIM MD
NPI 1548910342
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 24, 2022PECOS Enrolled
22 S GREENE ST # S11C22, BALTIMORE, MD 21201(571) 296-7856 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Yeonsoo Kim Md NPPES

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

DR. WILLIAM YEONSOO KIM MD (NPI 1548910342) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1548910342
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM YEONSOO KIMCredential: MD
Location Address22 S GREENE ST # S11C22Baltimore, MD 21201-1544
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266
Phone(571) 296-7856
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1548910342 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.
22 S GREENE ST # S11C22, Baltimore, MD 21201
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Yeonsoo 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 William Kim's NPI number?

The NPI number for William Kim is 1548910342. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is William Kim located?

William Kim practices at 22 S Greene St # S11c22, Baltimore, MD 21201. The listed phone number is (571) 296-7856.

What is William 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 William Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Kim was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.