CHANG KYUNG KIM MD, PHD
NPI 1912580309
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA
About Chang Kyung Kim Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANG KYUNG KIM MD, PHD (NPI 1912580309) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chang Kyung Kim Md, Phd 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.
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
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 Chang Kyung Kim's NPI number?
The NPI number for Chang Kyung Kim is 1912580309. It was assigned to this individual provider in the NPPES registry on May 3, 2021. The provider is also known as Joanna Kim.
Where is Chang Kyung Kim located?
Chang Kyung Kim practices at 5200 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 623-2458.
What is Chang 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 Chang Kyung Kim enrolled in Medicare?
Yes. Chang Kyung Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Chang Kyung Kim was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Chang Kyung Kim, MD, PHD · NPI 1912580309
Student in an Organized Health Care Education/Training Program provider in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1912580309 (Entity type: Individual)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5200 CENTRE AVE, Pittsburgh, PA 15232-1300
- **Phone:** (412) 623-2458
## 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:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912580309) · Data from the CMS NPPES public registry.