MR. JOSHUA KYUNGHO KIM
NPI 1831030394
Surgery - Plastic and Reconstructive Surgery in Jackson, MS
About Mr. Joshua Kyungho Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSHUA KYUNGHO KIM (NPI 1831030394) is an individual plastic and reconstructive surgery provider in Jackson, Mississippi, licensed in Mississippi (T-6054) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Joshua Kyungho Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Joshua Kim's NPI number?
The NPI number for Joshua Kim is 1831030394. It was assigned to this individual provider in the NPPES registry on April 1, 2026.
Where is Joshua Kim located?
Joshua Kim practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Joshua Kim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Joshua Kim enrolled in Medicare?
Yes. Joshua Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Joshua Kim was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# Mr. Joshua Kyungho Kim · NPI 1831030394
Plastic and Reconstructive Surgery physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 1, 2026.
## Identity
- **NPI:** 1831030394 (Entity type: Individual)
- **Enumerated:** April 1, 2026
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** T-6054 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831030394) · Data from the CMS NPPES public registry.