Active NPI
Yongwoo Kim, M.D.
- Neurology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD047385
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007 - Phone
- (202) 877-3791
- Fax
- (202) 877-2166
- NPI assigned
- Aug 10, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | MD459051 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT202623 | PA | |
| Neurology Physician | 2084N0400X | MD047385 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007
Mailing address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 877-3791
Other practice location 1
3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-3040
Other practice location 2
3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-3040
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
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
Hospital & facility affiliations
- Medstar Washington Hospital Center
- Medstar Saint Mary'S Hospital
- Medstar Franklin Square Medical Center
- Medstar Southern Maryland Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD459051 | PA | MD | Clinical Pathology Physician |
| MD047385 | DC | MD | Neurology Physician |
| MT202623 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Total Elder Care LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1750752911
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- General Practice Physician
- Brandywine, MD
- NPI 1285064550
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1396092250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-877-3791",
"fax_number": "202-877-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20007",
"telephone_number": "202-877-3791",
"fax_number": "202-877-2166"
}
],
"practiceLocations": [
{
"address_1": "3509 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191404105",
"country_code": "US",
"telephone_number": "215-707-3040",
"fax_number": "215-707-8235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3509 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191404105",
"country_code": "US",
"telephone_number": "215-707-3040",
"fax_number": "215-707-8235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "YONGWOO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "PA",
"license": "MD459051",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT202623",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD047385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.