Individual provider Active NPI

Noori Kim, M.D.

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1093036758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D83412 Issued in MD
Practice address
601 N Caroline St FL 8
Baltimore, MD 21287-0006
Phone
(410) 955-5933
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244958 MA
Dermatology Physician 207N00000X D83412 MD Primary

Addresses

Primary practice location

601 N Caroline St FL 8
Baltimore, MD 21287-0006

Mailing address

601 N. Caroline St. 8TH Floor Dermatology
Johns Hopkins Outpatient Center
Baltimore, MD 21287-0006
Phone (410) 955-5933

Other practice location 1

55 Lake Ave N
Internal Medicine Residency
Worcester, MA 01655-0002
Phone (508) 334-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20170830000097 MD Practitioner - Dermatology 7214165836 Reassigns benefits to 1 organization
I20240105002066 TX Practitioner - Dermatology 7214165836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Dermatology, PLLCGroup PAC ID 8729345285, 26 clinicians

Practice addresses (Care Compare)

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone (281) 612-0050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions204
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244958MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 14, 2017 Accepting new patients
Elite Derm Services, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Elite Dermatology, PLLC Dermatology CurrentSince Feb 5, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Dermatology CurrentSince Aug 14, 2017 Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

601 N Caroline St
Fl 8
Baltimore, MD 21287
Phone (410) 955-5933

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

Interoperability endpoints

  • Direct secure messaging: nkim@elitedermatology.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093036758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N. CAROLINE ST. 8TH FLOOR DERMATOLOGY",
            "address_2": "JOHNS HOPKINS OUTPATIENT CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_2": "Internal Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "NOORI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244958",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D83412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.