Individual provider Active NPI

Sean Donghyun Kim, MD

  • Retina Specialist (Ophthalmology) Physician
  • Baltimore, MD
National Provider Identifier
1588124697
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
D0103386 Issued in MD
Practice address
6115 Falls Rd Ste 300
Baltimore, MD 21209-2219
Phone
(410) 377-7611
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X D0103386 MD Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD489610 PA

Addresses

Primary practice location

6115 Falls Rd Ste 300
Baltimore, MD 21209-2219

Mailing address

500 University Dr
Hershey, PA 17033-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MD, PA3 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
I20230724003181 NE Practitioner - Ophthalmology 5597125443 Reassigns benefits to 1 organization
I20250421001741 MD Practitioner - Ophthalmology 5597125443 Reassigns benefits to 1 organization
I20250513002572 PA Practitioner - Ophthalmology 5597125443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Fame Ave
Suite 101
Hanover, PA 17331-1587
Phone (717) 969-1100

6115 Falls Rd
Suite 300
Baltimore, MD 21209-2219
Phone (410) 377-7611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0103386MDMDRetina Specialist (Ophthalmology) Physician
MD489610PAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 1, 2023 Accepting new patients
Associated Retinal Consultants LLC Retina Specialist CurrentSince May 1, 2025 Accepting new patients
Associated Retinal Consultants LLC CurrentSince May 1, 2025 Accepting new patients
The Retina Group of Washington, PLLC Retina Specialist CurrentSince May 1, 2025 Accepting new patients
The Retina Group of Washington, PLLC Retina Specialist CurrentSince May 1, 2025 Accepting new patients

Locations

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

6115 Falls Rd
Ste 300
Baltimore, MD 21209
Phone (410) 377-7611

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

3902 Leavenworth St
Omaha, NE 68105
Phone (402) 559-2020

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

501 Hyde Park
Doylestown, PA 18902
Phone (215) 230-9200

250 Fame Ave
Ste 101
Hanover, PA 17331
Phone (717) 521-0530

2350 Freedom Way
Ste 105
York, PA 17402
Phone (717) 699-7991

Interoperability endpoints

  • Direct secure messaging: skim@arcnj.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1588124697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-377-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEAN",
        "middle_name": "DONGHYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0103386",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD489610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.