Individual provider Active NPI

James Yeoun-Uk Kim, M.D.

  • Anesthesiology Physician
  • Frederick, MD
National Provider Identifier
1073770897
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0073997 Issued in MD
Practice address
7490 New Technology Way
Frederick, MD 21703-8370
Phone
(240) 566-1616
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0073997 MD Primary

Addresses

Primary practice location

7490 New Technology Way
Frederick, MD 21703-8370

Mailing address

5295 Westview Dr
Suite 225
Frederick, MD 21703-8517
Phone (240) 566-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120807000191 MD Practitioner - Anesthesiology 6305092362 Reassigns benefits to 1 organization
I20120904000136 DC Practitioner - Anesthesiology 6305092362 Reassigns benefits to 1 organization
I20210518002177 HI Practitioner - Anesthesiology 6305092362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Anesthesia Medical Group IncGroup PAC ID 1254234842, 25 clinicians

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0073997MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1073770897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 WESTVIEW DR",
            "address_2": "SUITE 225",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038517",
            "telephone_number": "240-566-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 NEW TECHNOLOGY WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038370",
            "telephone_number": "240-566-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "YEOUN-UK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0073997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.