Individual provider Active NPI

Chang Hoon Kim

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1477971430
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101288670 Issued in VA
Practice address
1011 Care Way
Fredericksburg, VA 22401-8439
Phone
(855) 739-9953
Fax
(877) 916-0801
NPI assigned
Apr 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.127625 OH
Cardiovascular Disease Physician 207RC0000X D0094112 MD
Internal Medicine Physician 207R00000X D0094112 MD
Cardiovascular Disease Physician 207RC0000X 0101288670 VA Primary

Addresses

Primary practice location

1011 Care Way
Fredericksburg, VA 22401-8439

Mailing address

1011 Care Way
Fredericksburg, VA 22401-8439
Phone (855) 739-9953

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Other practice location 2

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA3 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

Enrollment IDStateProvider typePAC IDDetails
I20251124002008 MD Practitioner - Internal Medicine 5395049837 Reassigns benefits to 2 organizations
I20251209002399 MD Practitioner - Cardiovascular Disease (Cardiology) 5395049837 Reassigns benefits to 1 organization
I20260422002186 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5395049837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of Ny Upstate Medical University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

600 N Wolfe St
Baltimore, MD 21287-0005

6201 Greenleigh Ave
Middle River, MD 21220-2004

6933 Sandy Creek CT
Clarksville, MD 21029-1747

PO Box
Suite 3339
Fredericksburg, VA 22402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0094112MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Oct 2, 2025 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Oct 11, 2025 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Oracle Heart & Vascular, Inc. Cardiovascular Disease Past Accepting new patients

Locations

3333 N Calvert St
Ste 500
Baltimore, MD 21218
Phone (410) 366-5600

600 N Wolfe St
#500
Baltimore, MD 21287
Phone (410) 955-5999

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

600 N Wolfe St
Baltimore, MD 21287

3001 S Hanover St
Ste 300
Brooklyn, MD 21225
Phone (410) 350-2663

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD
  • Direct secure messaging: ckim843827@direct.hopkinsmedicine.org

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.

Hospital & facility affiliations 1

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1477971430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "855-739-9953",
            "fax_number": "877-916-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "855-739-9953",
            "fax_number": "877-916-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHANG",
        "middle_name": "HOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.127625",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0094112",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0094112",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101288670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.