Active NPI
Careconnectmd Minnesota PC
- General Practice Physician
- Saint Paul, MN
National Provider Identifier
1902587439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CARECONNECTMD MINNESOTA PC
- Practice address
- 445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269 - Phone
- (888) 789-9585
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyong Kim, MD
- Title
- Owner
- Phone
- (888) 789-9585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260122002162 | MN | Part B Supplier - Clinic/Group Practice | 0749767663 | Practice locations: Saint Paul, MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1902587439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MINNESOTA ST STE 1500",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012269",
"telephone_number": "888-789-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECTMD MINNESOTA PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.