Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaeyoung Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053016709

Jaeyoung Kim, MD is an Orthopedic Surgery in Boston, Massachusetts. Qualified in 2010, 16 years ago. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X · Licence 3015846 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053016709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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