1. Home
  2. Directory
  3. Missouri
  4. St Louis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DUSTY KIME
NPI 1982047098
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since April 09, 2013PECOS Enrolled
1402 S. GRAND, FDT 14TH FLOOR, ST. LOUIS, MO 63104(314) 577-8762 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dusty Kime NPPES

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

DUSTY KIME (NPI 1982047098) is an individual student in an organized health care education/training program in St. Louis, Missouri and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982047098
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTY KIME
Location Address1402 S. GRAND, FDT 14TH FLOORSt. Louis, MO 63104-3524
Mailing Address241 Morris StAlbany, NY 12208-3524 · (219) 228-0992
Phone(314) 577-8762
Sole ProprietorNo
Enumeration DateApril 9, 2013
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1982047098 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 ListedHospitalistTaxonomy 208M00000X · License 1982047098 (NC)
1402 S. GRAND, FDT 14TH FLOOR, St. Louis, MO 63104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dusty Kime 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MANNY CHEKOL ZEWDU M.D.
Hospitalist
1402 S. GRAND, FDT 14TH FLOOR
ST. LOUIS, MO 63104
St. Louis City (314) 577-8762

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 Dusty Kime's NPI number?

The NPI number for Dusty Kime is 1982047098. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Dusty Kime located?

Dusty Kime practices at 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104. The listed phone number is (314) 577-8762.

What is Dusty Kime's specialty?

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

Is Dusty Kime enrolled in Medicare?

Yes. Dusty Kime is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dusty Kime was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.