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ALEXANDER YOUNGHO KIM
NPI 1861230914
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 15, 2024PECOS Enrolled
340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202(317) 274-5555 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Alexander Youngho Kim NPPES

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

ALEXANDER YOUNGHO KIM (NPI 1861230914) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1861230914
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER YOUNGHO KIM
Location Address340 W 10TH ST STE 6200Indianapolis, IN 46202-3082
Mailing Address340 W 10th St Ste 6200Indianapolis, IN 46202-3082
Phone(317) 274-5555
Sole ProprietorNo
Enumeration DateJuly 15, 2024
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1861230914 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.
340 W 10TH ST STE 6200, Indianapolis, IN 46202
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Secondary Practice Location 1

Location 1340 W 10th St Ste 6200Indianapolis, IN 46202-3082 · Phone (317) 274-5555

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Youngho 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.

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.

GENTRY C DODD MD
Physical Medicine & Rehabilitation
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 625-6141
MAXWELL PAYNE JENKINS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MALLORY SUE PINE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (314) 274-8157
LILLIAN ASHTON HATTON
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LUKE NATHANAEL HARGRAVE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
YATZIRI MORENO
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
HARRISON ANDREW LAYMAN
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MICHELLE NIVAR
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157

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 Alexander Kim's NPI number?

The NPI number for Alexander Kim is 1861230914. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Alexander Kim located?

Alexander Kim practices at 340 W 10th St Ste 6200, Indianapolis, IN 46202. The listed phone number is (317) 274-5555.

What is Alexander 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 Alexander Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexander Kim was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.