Active NPI
Jaeyup Kim, M.D.
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1679413215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Education Office, Department of Psychiatry
701 W. Pratt St. RM 474
Baltimore, MD 21201 - Phone
- (410) 328-6325
- NPI assigned
- Apr 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Education Office, Department of Psychiatry
701 W. Pratt St. RM 474
Baltimore, MD 21201
Mailing address
Education Office, Department of Psychiatry
701 W. Pratt St. RM 474
Baltimore, MD 21201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1679413215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EDUCATION OFFICE, DEPARTMENT OF PSYCHIATRY",
"address_2": "701 W. PRATT ST. RM 474",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDUCATION OFFICE, DEPARTMENT OF PSYCHIATRY",
"address_2": "701 W. PRATT ST. RM 474",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAEYUP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-01",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.