DR. YEASEO KIM
NPI 1609360197
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Yeaseo Kim's NPI number?

The NPI number for Yeaseo Kim is 1609360197. It was assigned to this individual provider in the NPPES registry on June 18, 2018. The provider is also known as Dr. Sarah Kim.

Q: What is Yeaseo 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 Yeaseo Kim was last updated on June 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2018PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Yeaseo Kim NPPES

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

DR. YEASEO KIM (NPI 1609360197) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609360197

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. YEASEO KIM

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401

Phone(718) 920-4321

Sole ProprietorYes

Enumeration DateJune 18, 2018

✔ NPI 1609360197 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.

111 E 210TH ST, Bronx, NY 10467

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Other Names 1

Other Name (5)Dr. Sarah Kim

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. Yeaseo Kim 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.

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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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)