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MINJI KIM
NPI 1942004759
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 02, 2025PECOS Enrolled
601 N CAROLINE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2025, Apr 2, 2025 (2 updates tracked since 2025).

About Minji Kim NPPES

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

MINJI KIM (NPI 1942004759) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1942004759
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMINJI KIM
Location Address601 N CAROLINE STBaltimore, MD 21287-0006
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Phone(410) 955-5000
Sole ProprietorNo
Enumeration DateApril 2, 2025
Last NPPES UpdateMay 31, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1942004759 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.
601 N CAROLINE ST, Baltimore, MD 21287
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minji 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.

ROBERT WISE M.D.
Internal Medicine (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-9446
DR. JAMSHID DANAIE M.D.
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-9441
HEATHER MAUREEN STARMER S.L.P.
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1080
SARAH NAKIB MD, MPH
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-8662
AMELIA TENBERG SCHETTINI NP-C
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MR. CHRISTOPHER B FISHER PA-C
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Baltimore City (410) 955-9551
MRS. MONICA NGAZOIRE BRYANT PA C
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3172
DR. DAWN LAPORTE M.D.
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287
Baltimore City (410) 955-3134

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 Minji Kim's NPI number?

The NPI number for Minji Kim is 1942004759. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Minji Kim located?

Minji Kim practices at 601 N Caroline St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Minji 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 Minji Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Minji Kim was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.