Individual provider Active NPI

Bo Soo Kim, M.D.

  • Pulmonary Disease Physician
  • Baltimore, MD
National Provider Identifier
1649294695
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D72738 Issued in MD
Practice address
5501 Hopkins Bayview Cir
RM 4B74
Baltimore, MD 21224-6821
Phone
(410) 550-0545
Fax
(410) 550-2612
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D72738 MD Primary

Addresses

Primary practice location

5501 Hopkins Bayview Cir
RM 4B74
Baltimore, MD 21224-6821

Mailing address

5501 Hopkins Bayview Cir
RM 4B74
Baltimore, MD 21224-6821
Phone (410) 550-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20111011000343 MD Practitioner - Pulmonary Disease 7416951298 Reassigns benefits to 1 organization
I20240801002358 TX Practitioner - Pulmonary Disease 7416951298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 12, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Seton Family of Doctors CurrentSince Aug 12, 2024 Accepting new patients
Johns Hopkins University Pulmonary Disease CurrentSince Sep 2, 2011 Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

5501 Hopkins Bayview Cir
Rm 4B74
Baltimore, MD 21224
Phone (410) 550-0545

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1004 W 32nd St
Ste 300
Austin, TX 78705
Phone (512) 324-3440

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: bkim32791@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1649294695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 HOPKINS BAYVIEW CIR",
            "address_2": "RM 4B74",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246821",
            "telephone_number": "410-550-0545",
            "fax_number": "410-550-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HOPKINS BAYVIEW CIR",
            "address_2": "RM 4B74",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246821",
            "telephone_number": "410-550-0545",
            "fax_number": "410-550-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BO",
        "middle_name": "SOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D72738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.