Bryan Sungkoo Khim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D50978 Issued in MD

Practice address

8815 Baltimore National Pike
Suite B
Ellicott City, MD 21043-4111

Phone

(410) 480-1800

Fax

(410) 480-2899

NPI assigned

Jul 26, 2006

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

East Tennessee State University Quillen College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score

27.74 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

92.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medlantic Healthcare Group

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1467408450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1598788762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434111",
            "telephone_number": "410-480-1800",
            "fax_number": "410-480-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434111",
            "telephone_number": "410-480-1800",
            "fax_number": "410-480-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIM",
        "first_name": "BRYAN",
        "middle_name": "SUNGKOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D50978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019440900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EDUCATION NO.",
            "identifier": "04720930647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranjan Khadka, MD
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• Sarah Khan
• Lubni Khanam
• Asra Khatoon, RBT
• Kids Dental Center, LLC
• Kids' Village Therapy, LLC
• Mary Julie Kieta
• Kim & Kim, D.D.S., P.a.
• Kim Jones-Fearing M.D. LLC

• Family Medicine Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.

Verify at the official NPI Registry.