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PETER SEONGMIN KIM DO
NPI 1952240228
Student in an Organized Health Care Education/Training Program in Wright Pat, OH

Active since March 25, 2026PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Apr 8, 2026, Mar 25, 2026 (3 updates tracked since 2026).

About Peter Seongmin Kim Do NPPES

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

PETER SEONGMIN KIM DO (NPI 1952240228) is an individual student in an organized health care education/training program in Wright Pat, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1952240228
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER SEONGMIN KIMCredential: DO
Location Address4881 SUGAR MAPLE DRWright Pat, OH 45433-5529
Mailing Address4881 Sugar Maple DrWright Pat, OH 45433-5529 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateMarch 25, 2026
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1952240228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
4881 SUGAR MAPLE DR, Wright Pat, OH 45433
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Secondary Practice Location 1

Location 1161 Wyoming St Ste 100WDayton, OH 45409-2741 · Phone (937) 279-8600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Seongmin Kim Do 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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1952240228. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Peter Kim located?

Peter Kim practices at 4881 Sugar Maple Dr, Wright Pat, OH 45433. The listed phone number is (937) 257-9926.

What is Peter 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 Peter Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.