Active NPI
Joon Kyung Kim
- Urology Physician
- Towson, MD
National Provider Identifier
1497333678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0106688
- Practice address
- 6535 N Charles St Ste 500
Towson, MD 21204-5832 - Phone
- (410) 825-5454
- NPI assigned
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0106688 | MD | Primary |
Addresses
Primary practice location
6535 N Charles St Ste 500
Towson, MD 21204-5832
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
800 Rose St Rm Mn-283
Lexington, KY 40536-7001
Phone (859) 323-5057
Other practice location 2
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 933-2704
Other practice location 3
8600 Old Georgetown Rd
Bethesda, MD 20814-1497
Phone (301) 896-3100
Other practice location 4
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 502-2037
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624002460 | MD | Practitioner - Urology | 2365824224 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of South Florida College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10200 Grand Central Ave
Suite 220
Owings Mills, MD 21117-4165
6201 Greenleigh Ave
Middle River, MD 21220-2004
800 Rose St
Ms268
Lexington, KY 40536-7001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1497333678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 N CHARLES ST STE 500",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045832",
"telephone_number": "410-825-5454"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St Rm Mn-283",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405367001",
"country_code": "US",
"telephone_number": "859-323-5057",
"fax_number": "859-257-6024",
"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": "410-933-2704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141497",
"country_code": "US",
"telephone_number": "301-896-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Orleans St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870010",
"country_code": "US",
"telephone_number": "410-502-2037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JOON KYUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0106688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.