ANDREW YONGHOON KIM MD
NPI 1962104828
Student in an Organized Health Care Education/Training Program in Reno, NV

Q: What is Andrew Kim's NPI number?

The NPI number for Andrew Kim is 1962104828. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Andrew Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kim was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 21, 2023PECOS Enrolled

745 W MOANA LN STE 300, RENO, NV 89509(559) 682-8456 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrew Yonghoon Kim Md NPPES

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

ANDREW YONGHOON KIM MD (NPI 1962104828) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962104828

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW YONGHOON KIMCredential: MD

Location Address745 W MOANA LN STE 300Reno, NV 89509-4980

Mailing Address745 W Moana Ln Ste 300Reno, NV 89509-4980

Phone(559) 682-8456

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1962104828 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.

745 W MOANA LN STE 300, Reno, NV 89509

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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)

Andrew Yonghoon Kim Md 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.

JACLYN O'DONNELL MD, RD

Student in an Organized Health Care Education/Training Program