Active NPI
Noori Kim, M.D.
- Dermatology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D83412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 204 |
| Skin biopsy | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244958 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Elite Derm Services, PLLC | Current | Accepting new patients | |
| Elite Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Katy, TX
- NPI 1104337526
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Dermatology Physician
- Baltimore, MD
- NPI 1659377323
-
- Dermatopathology (Pathology) Physician
- Fulshear, TX
- NPI 1861209298
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1164461190
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.