Frederick Seungjoon Kim, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS025030 Issued in PA

Practice address

555 Second Ave Ste 300
Collegeville, PA 19426-3600

Phone

(610) 454-7750

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Pottstown Medical Specialists IncGroup PAC ID 8224024096, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fkim885291@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pottstown Medical Specialists, Inc

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1053428425
  Medicare reassignment Care Compare group NPD
• Pottstown Medical Specialists Inc

  • Family Medicine Physician
  • Royersford, PA
  • NPI 1376667790
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phoenixville Hospital, LLC

  • General Acute Care Hospital
  • Phoenixville, PA
  • NPI 1750805552
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1396322541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-454-7750",
            "fax_number": "610-454-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-454-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FREDERICK",
        "middle_name": "SEUNGJOON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kelley
• Taylor Kelly
• Devin Kennedy, CRNP
• Nicole B Kesner
• Keystone Rehabilitation Systems Inc
• Naomi Avoline Kim, MA, LPC
• Alexis Kingcade
• Jessica Kirk, M. ED
• Wasana Klayson
• Rose Anne Klementisz, PTA

• Family Medicine Physician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.