Active NPI
Annie Kim, PA-C
- Physician Assistant
- Bethesda, MD
National Provider Identifier
1023853488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6720A Rockledge Dr Ste 500
Bethesda, MD 20817-1888 - Phone
- (301) 530-7303
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6720A Rockledge Dr Ste 500
Bethesda, MD 20817-1888
Mailing address
6720A Rockledge Dr Ste 500
Bethesda, MD 20817-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844
6720 A Rockledge Dr
Suite 500
Bethesda, MD 20817-1888
Phone (301) 530-7303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Institute of DC, LLC | Current | Accepting new patients |
Locations
6720A Rockledge Dr
Ste 500
Bethesda, MD 20817
Phone (301) 530-7303
Interoperability endpoints
- annie.kim@1084.securemail.prognocis.com
Organizations & group practices 3
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.
-
- Specialist
- Washington, DC
- NPI 1548470982
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1023853488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720A ROCKLEDGE DR STE 500",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720A ROCKLEDGE DR STE 500",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171888",
"telephone_number": "301-530-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANNIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.