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TAE KYUNG KIM
NPI 1902374101
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since November 06, 2018PECOS Enrolled
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tae Kyung Kim NPPES

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

TAE KYUNG KIM (NPI 1902374101) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902374101
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAE KYUNG KIM
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address733 N Broadway Ste 147Baltimore, MD 21205-1832 · (410) 955-3080
Phone(410) 955-5000
Sole ProprietorYes
Enumeration DateNovember 6, 2018
✔ NPI 1902374101 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.
600 N WOLFE ST, Baltimore, MD 21287
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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)

Tae Kyung 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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Tae Kyung Kim's NPI number?

The NPI number for Tae Kyung Kim is 1902374101. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Tae Kyung Kim located?

Tae Kyung Kim practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Tae Kyung 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 Tae Kyung Kim enrolled in Medicare?

Yes. Tae Kyung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tae Kyung Kim was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.