Active NPI
Jeffrey Young Kim, M.D.
- Gastroenterology Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0091510
- Practice address
- 15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353 - Phone
- (301) 340-3252
- NPI assigned
- May 8, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD046374 | DC | |
| Gastroenterology Physician | 207RG0100X | D0091510 | MD | Primary |
Addresses
Primary practice location
15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353
Mailing address
10770 Columbia Pike Ste 400
Silver Spring, MD 20901-4462
Phone (240) 485-5210
Other practice location 1
245 N 15th St Fl 6
Philadelphia, PA 19102-1101
Phone (215) 762-7916
Other practice location 2
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 444-4034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14955 Shady Grove Rd
Suite 150
Rockville, MD 20850-8725
Phone (301) 340-3252
2021 K St NW
Suite T 110 Metroploitan Gastroenterology
Washington, DC 20061-1036
Phone (202) 296-3449
Hospital & facility affiliations
- Adventist Healthcare Shady Grove Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 73 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Digestive Care, LLC | Gastroenterology | Current | Accepting new patients |
| Capital Digestive Care LLC | Gastroenterology | Current | Accepting new patients |
| Endoscopy Center of Washington DC LP | Current | Accepting new patients | |
| David a. Morowitz | Gastroenterology | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252
10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
-
- Ambulatory Surgical Clinic/Center
- Washington, DC
- NPI 1154301240
-
- Gastroenterology Physician
- Chevy Chase, MD
- NPI 1508280728
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1366820409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10770 COLUMBIA PIKE STE 400",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014462",
"telephone_number": "240-485-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 SHADY GROVE RD STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506353",
"telephone_number": "301-340-3252"
}
],
"practiceLocations": [
{
"address_1": "245 N 15th St Fl 6",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021101",
"country_code": "US",
"telephone_number": "215-762-7916",
"fax_number": "215-762-7765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Reservoir Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20007",
"country_code": "US",
"telephone_number": "202-444-4034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JEFFREY",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "MD046374",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0091510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.