YEJOON KIM MD
NPI 1568043289
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Yejoon Kim's NPI number?

The NPI number for Yejoon Kim is 1568043289. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Yejoon Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Yejoon Kim was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 15, 2021PECOS Enrolled

13001 E 17TH PL, AURORA, CO 80045(303) 724-8472 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Yejoon Kim Md NPPES

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

YEJOON KIM MD (NPI 1568043289) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009549) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1568043289

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameYEJOON KIMCredential: MD

Location Address13001 E 17TH PLAurora, CO 80045-2570

Mailing Address13001 E 17th PlAurora, CO 80045-2570 · (303) 724-8472

Phone(303) 724-8472

Sole ProprietorNo

Enumeration DateApril 15, 2021

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1568043289 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

License✔ Licensed in CO · TL.0009549

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.

13001 E 17TH PL, Aurora, CO 80045

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Secondary Practice Location 1

Location 14000 W Diversey Ave Apt 330Chicago, IL 60639-2196 · Phone (614) 307-9160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yejoon 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.

PIYUSH KUMAR SHARMA M.D

Student in an Organized Health Care Education/Training Program

13001 E 17TH PL, UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO 80045

Adams County (303) 724-2680

BENJAMIN ROBERT WHARTON MD

Student in an Organized Health Care Education/Training Program