Victor Yonghoon Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0051586 Issued in MD

Practice address

5074 Dorsey Hall Dr Ste 104
Ellicott City, MD 21042-7794

Phone

(443) 766-3332

Fax

(410) 480-2336

NPI assigned

Jul 26, 2006

Last updated

Feb 5, 2025By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Specialty

Emergency MedicineAlso: General Practice

Education

George Washington University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Benjamin S. Lee, M.D., P.aGroup PAC ID 5597052225, 3 clinicians

Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victor.kim.1@15482.direct.athenahealth.com

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.

• Comprehensive Primary Care and Associates LLC

  dba CloseKnit

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Benjamin S. Lee, M.D., P.a.

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1568815983
  Medicare reassignment Care Compare group
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  MD

  Medicare reassignment Care Compare group
• Doctor K LLC

  • Family Medicine Physician
  • Ellicott City, MD
  • NPI 1225536915
  Authorized official Same address or phone
• Columbia Medical Sport & Spine LLC

  • General Practice Physician
  • Columbia, MD
  • NPI 1871936294

  Single Specialty

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Johns Hopkins Emergency Medical

  • Emergency Care Clinic/Center
  • Columbia, MD
  • NPI 1922098466

  Single Specialty

  NPD (past)
• Randall Emergency Physicians LLC

  • Emergency Medicine Physician
  • Randallstown, MD
  • NPI 1679526347

  Single Specialty

  NPD (past)
• Yardmore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1730131657

  Single Specialty

  NPD (past)
• Emerginet, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Atlanta, GA
  • NPI 1164480869

  Single Specialty

  NPD (past)
• Parkway Anesthesia Consultants, PC

  • Certified Registered Nurse Anesthetist
  • Villa Rica, GA
  • NPI 1194887455

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1629092465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427794",
            "telephone_number": "443-766-3332",
            "fax_number": "410-480-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427794",
            "telephone_number": "443-766-3332",
            "fax_number": "410-480-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "VICTOR",
        "middle_name": "YONGHOON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0051586",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D51586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416570500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0051586",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Ah Kim
• Ken Kim
• Lisa M Kim, M.D.
• Philip T Kim, DDS
• So Young Kim
• Young Joo Kim
• Kimberly Marie Ford, DDS, LLC (Ellicott Mills Dental)
• Jennifer Kincaid, PH.D., CCC-A, FAAA
• Kristina Lee Kincaid, LCSW-C
• King Community Services 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 Feb 5, 2025; 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.