Soohwan Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0100292 Issued in MD

Practice address

10313 Georgia Ave Ste 209
Silver Spring, MD 20902-5006

Phone

(301) 681-9781

Fax

(301) 681-9780

NPI assigned

Jun 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDDCDD/Endpoint/IDDCDD

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.

• Benjamin S. Lee, M.D., P.a.

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1568815983
  Medicare reassignment NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1083029730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 209",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-9781",
            "fax_number": "301-681-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 209",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-9781",
            "fax_number": "301-681-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOHWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0100292",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Kim, M.D.
• Robert Kim, DNP, FNP
• Sae-in Kim, M.D.
• Sara Bogeum Kim
• Shi Yoon Kim, PHARM. D
• Tiffany Kim
• Sarah Kima
• Ronald Lee Kimball, PHD
• Emily Kimberly, V.M.D.
• Daniel Scott Kimes, LCSW-C

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.