MINHA KIM MD
NPI 1750886578
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since March 25, 2018PECOS Enrolled
17 DAVIS BLVD STE 308, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2018, Mar 28, 2018, Mar 25, 2018 (3 updates tracked since 2018).

About Minha Kim Md NPPES

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

MINHA KIM MD (NPI 1750886578) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Danbury, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750886578
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMINHA KIMCredential: MD
Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438
Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2018
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1750886578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

17 DAVIS BLVD STE 308, Tampa, FL 33606

Secondary Practice Location 1

Location 124 Hospital AveDanbury, CT 06810-6099 · Phone (203) 739-6013

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Minha Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305192089
PECOS Enrollment IDI20260518003097
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.

Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750886578, enumerated as an "individual" on March 25, 2018.

The provider is located at 17 DAVIS BLVD STE 308 TAMPA, FL 33606 and the phone number is (813) 974-2201.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.