Individual provider Active NPI

Kenneth Yim, M.D.

  • Nephrology Physician
  • Catonsville, MD
National Provider Identifier
1386642643
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D48089 Issued in MD
Practice address
516 N Rolling Rd Ste 304
Catonsville, MD 21228-4133
Phone
(410) 744-0890
Fax
(410) 744-2007
NPI assigned
Jul 12, 2005
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D48089 MD Primary

Addresses

Primary practice location

516 N Rolling Rd Ste 304
Catonsville, MD 21228-4133

Mailing address

1589 Sulphur Spring Rd Ste 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other practice location 1

7106 Ridge Rd Ste 155
Baltimore, MD 21237-3878
Phone (443) 559-8705

Other practice location 2

301 Saint Paul St Ste 605
Baltimore, MD 21202-2102
Phone (410) 332-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000052 MD Practitioner - NephrologyPractitioner - Internal Medicine 3870568736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

7106 Ridge Rd
Suite 155
Baltimore, MD 21237-3878
Phone (443) 559-8705

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Aug 31, 2000 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince May 19, 2024 Accepting new patients
Lord Baltimore Dialysis LLC PastSince Apr 30, 2003 Accepting new patients

Locations

301 Saint Paul St
Ste 605
Baltimore, MD 21202
Phone (410) 332-1111

516 N Rolling Rd
Ste 107
Catonsville, MD 21228
Phone (410) 744-0890

516 N Rolling Rd
Ste 304
Catonsville, MD 21228
Phone (410) 744-0890

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

7106 Ridge Rd
Ste 155
Rosedale, MD 21237
Phone (443) 559-8705

Interoperability endpoints

  • Direct secure messaging: kennethyim@mana.allscriptsdirect.net
  • Direct secure messaging: kyim232304@direct.umm.edu
  • Direct secure messaging: kyimmd@crispdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1386642643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 304",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284133",
            "telephone_number": "410-744-0890",
            "fax_number": "410-744-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Ridge Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373878",
            "country_code": "US",
            "telephone_number": "443-559-8705",
            "fax_number": "443-815-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Saint Paul St Ste 605",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022102",
            "country_code": "US",
            "telephone_number": "410-332-1111",
            "fax_number": "410-332-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIM",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D48089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.