Individual provider Active NPI

Ki Jung, DO

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1801359609
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0093634 Issued in MD
Practice address
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone
(443) 315-3333
NPI assigned
Apr 9, 2019
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0093634 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Baltimore, MD 21237-3901

Mailing address

5064 Springhouse Cir
Baltimore, MD 21237-3356
Phone (443) 315-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220804003922 MD Practitioner - Internal MedicinePractitioner - Hospitalist 7810379948 Reassigns benefits to 4 organizations
I20220804003938 DC Practitioner - Hospitalist 7810379948 Reassigns benefits to 1 organization
I20250612002292 DE Practitioner - Internal Medicine 7810379948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1322 Belmont Ave
Suite 204
Salisbury, MD 21804-4594
Phone (855) 830-8346

19409 Plantation Rd
Suite 4
Rehoboth Beach, DE 19971-4413
Phone (855) 830-8346

19606 Coastal Hwy
Unit 203
Rehoboth Beach, DE 19971-8577
Phone (855) 830-8346

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (855) 830-8346

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
80.89
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as group
Quality
61.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0093634MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration de LLC CurrentSince Jun 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2022 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC CurrentSince Aug 4, 2023 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Mar 1, 2026 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Mar 1, 2026 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

19606 Coastal Hwy
Unit 203
Rehoboth Beach, DE 19971
Phone (302) 227-0405

108 Forbes St
Annapolis, MD 21401
Phone (410) 729-4878

2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544

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

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1600 Crain Hwy S
Ste 408
Glen Burnie, MD 21061
Phone (410) 768-3936

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

1322 Belmont Ave
Ste 204
Salisbury, MD 21804
Phone (410) 742-4339

Interoperability endpoints

  • Direct secure messaging: kj.jungdo.p3@direct.cvr.nextgenshare.com

Organizations & group practices 9

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.

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1801359609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 SPRINGHOUSE CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373356",
            "telephone_number": "443-315-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-315-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0093634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.