Active NPI
Isaac Kim, MD
- Ophthalmology Physician
- Rockville, MD
National Provider Identifier
1720729544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0106325
- Practice address
- 9601 Blackwell Rd Ste 340
Rockville, MD 20850-3472 - Phone
- (301) 610-2020
- Fax
- (301) 662-4044
- NPI assigned
- Apr 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0106325 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9601 Blackwell Rd Ste 340
Rockville, MD 20850-3472
Mailing address
420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333
Other practice location 1
5283 Corporate Dr Ste 201
Frederick, MD 21703-2879
Phone (301) 662-4545
Other practice location 2
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515000138 | DC | Practitioner - Ophthalmology | 1355810789 | |
| I20260612001924 | MD | Practitioner - Ophthalmology | 1355810789 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of Ny Upstate Medical University, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
420 Mountain Ave
FL 4
New Providence, NJ 07974-2736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0106325 | MD | MD | Ophthalmology Physician |
Interoperability endpoints
- ikim88051@direct.upstate.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1720729544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MOUNTAIN AVE FL 4",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742736",
"telephone_number": "908-458-8333",
"fax_number": "908-530-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BLACKWELL RD STE 340",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503472",
"telephone_number": "301-610-2020",
"fax_number": "301-662-4044"
}
],
"practiceLocations": [
{
"address_1": "5283 Corporate Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217032879",
"country_code": "US",
"telephone_number": "301-662-4545",
"fax_number": "301-662-4044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-5253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ISAAC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0106325",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- 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.