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DR. PAUL PYOUNGKANG KIM MD
NPI 1699424572
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 19, 2022PECOS Enrolled
1701 W CHARLESTON BLVD STE 490, LAS VEGAS, NV 89102(702) 671-2273 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Pyoungkang Kim Md NPPES

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

DR. PAUL PYOUNGKANG KIM MD (NPI 1699424572) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699424572
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PAUL PYOUNGKANG KIMCredential: MD
Location Address1701 W CHARLESTON BLVD STE 490Las Vegas, NV 89102-2309
Mailing Address1701 W Charleston Blvd Ste 490Las Vegas, NV 89102-2309 · (702) 671-2273
Phone(702) 671-2273
Sole ProprietorNo
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
✔ NPI 1699424572 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.

1701 W CHARLESTON BLVD STE 490, Las Vegas, NV 89102
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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. Paul Pyoungkang 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.

TIFFANY ZEN YU MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
NATHAN JON LLOYD MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
MARY FROEHLICH
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
NATALIE DEMIRJIAN
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
JORDAN TIAN NICHOLS MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
KENNY HOANG DO
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
EMILY SUSAN SAGALOW
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
BRENT PATRICK BLACKWELL
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273

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 Paul Kim's NPI number?

The NPI number for Paul Kim is 1699424572. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Paul Kim located?

Paul Kim practices at 1701 W Charleston Blvd Ste 490, Las Vegas, NV 89102. The listed phone number is (702) 671-2273.

What is Paul 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 Paul Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Paul Kim was last updated on March 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.