Cecilia S Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D84379 Issued in MD

Practice address

2300 I Street, NW
George Washington University - SMHS - Gme Office
Washinton, DC 20037

Phone

(202) 741-3000

NPI assigned

May 31, 2012

Last updated

Jan 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Welltower CCRC Opco LLC

  dba Bedford Court Healthcare Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1376030510

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• 7520 Surratts Opco LLC

  dba Autumn Lake Healthcare at Bradford Oaks

  • Skilled Nursing Facility
  • Clinton, MD
  • NPI 1013593888
  NPD (past)
• Friends House Retirement Community, Inc

  • Skilled Nursing Facility
  • Sandy Spring, MD
  • NPI 1497742571
  NPD (past)
• Welltower CCRC Opco LLC

  dba Bedford Court Healthcare Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1376030510
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1841551439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 EYE STREET, NW #718",
            "address_2": "GEORGE WASHINGTON UNIVERSITY - SMHS - GME OFFICE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 I STREET, NW",
            "address_2": "GEORGE WASHINGTON UNIVERSITY - SMHS - GME OFFICE",
            "city": "WASHINTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-741-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CECILIA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D84379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Gayles
• Zachary Daniel Saltman, DMD
• Itselda Maria Shand-Gaines, LPC, LCPC
• Shai Ian Bernard Stewart, MD
• Madeline Frucht Wilks, MD

• Internal Medicine Physician in Washinton, DC
• Providers in Washinton, DC by specialty
• Internal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.