Active NPI
Chang Hoon Kim
- Cardiovascular Disease Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101288670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0094112 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | 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
- https://fhir4.healow.com/fhir/r4/DFHEAD
- 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.
-
- Hospitalist Physician
- Baltimore, MD
- NPI 1902332133
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Interventional Cardiology Physician
- Fredericksburg, VA
- NPI 1972924520
Cardiovascular Disease
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.