Individual provider Active NPI

Hyungeun Kim

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1669899506
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24889 Issued in MD
Practice address
6612 Baltimore National Pike
Catonsville, MD 21228-3907
Phone
(412) 979-5025
NPI assigned
Mar 27, 2014
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24889 MD Primary

Addresses

Primary practice location

6612 Baltimore National Pike
Catonsville, MD 21228-3907

Mailing address

9041 Sunni Shade CT
Perry Hall, MD 21128-9222
Phone (412) 979-5025

Other practice location 1

5551 Centre Ave Apt 408
Pittsburgh, PA 15232-1257
Phone (412) 979-5025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617000043 MD Practitioner - Physical Therapist in Private Practice 2365663531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6612 Baltimore National Pike
Catonsville, MD 21228-3907
Phone (412) 979-5025

Merit-based Incentive Payment System (MIPS)

Final score
21.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Top Physical Therapy, LLC Physical Therapist CurrentSince Apr 13, 2021 Accepting new patients

Locations

6612 Baltimore National Pike
Catonsville, MD 21228
Phone (412) 979-5025

7160 Cradlerock Way
Columbia, MD 21045
Phone (412) 979-5025

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1669899506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 SUNNI SHADE CT",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289222",
            "telephone_number": "412-979-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 BALTIMORE NATIONAL PIKE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283907",
            "telephone_number": "412-979-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5551 Centre Ave Apt 408",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321257",
            "country_code": "US",
            "telephone_number": "412-979-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNGEUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.