RYAN DONG-WOO KIM
NPI 1942950753
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD FL, LAWRENCEVILLE, GA 30046(678) 312-4041 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Dong-woo Kim NPPES

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

RYAN DONG-WOO KIM (NPI 1942950753) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942950753
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN DONG-WOO KIM
Location Address1000 MEDICAL CENTER BLVD FLLawrenceville, GA 30046-7694
Mailing Address1000 Medical Center Blvd FlLawrenceville, GA 30046-7694
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1942950753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1000 MEDICAL CENTER BLVD FL, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Dong-woo Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769863224
PECOS Enrollment IDI20250902003510
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.

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 Ryan Kim's NPI number?

The NPI number for Ryan Kim is 1942950753. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Ryan Kim located?

Ryan Kim practices at 1000 Medical Center Blvd Fl, Lawrenceville, GA 30046. The listed phone number is (678) 312-4041.

What is Ryan 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 Ryan Kim enrolled in Medicare?

Yes. Ryan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Kim was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.