Alexander Y Kim, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

D74710 Issued in MD

Practice address

174 Waterfront St Ste 320
Oxon Hill, MD 20745-1162

Phone

(301) 276-5670

NPI assigned

Aug 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alex Y Kim Other name

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD3 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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Drexel University College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aande Ir SolutionsGroup PAC ID 7618365990, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• A&E Ir Solutions

  dba National Vascular Physicians

  • Vascular & Interventional Radiology Physician
  • Oxon Hill, MD
  • NPI 1750053062

  DC, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Blackwell Physicians, LLC

  dba AHC Imaging

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1215183991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WATERFRONT STREET",
            "address_2": "STE 320",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451162",
            "telephone_number": "301-276-5670",
            "fax_number": "206-401-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 WATERFRONT ST STE 320",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451162",
            "telephone_number": "301-276-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEXANDER",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DC",
            "license": "MD037420",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D74710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "KIM",
            "middle_name": "Y",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deepak Kapur
• Abdul Aziz Kargbo Sr., LPN
• Charles Kersten, MD
• Zoha Khan, DPM
• Nabil Y Khawand, MD
• Jaeun Kim, DMD
• Sabina King, DPT
• Kinswoman Hope Medical Transportation
• KMC Consulting
• Adeyinka Kolawole

• Vascular & Interventional Radiology Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.