Active NPI
Ki Yu Kim, MD
- Family Medicine Physician
- Urbana, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0101651
- Practice address
- 3501 John Simmons St Ste A201
Urbana, MD 21704-7964 - Phone
- (240) 699-1050
- Fax
- (410) 367-2353
- NPI assigned
- Jun 23, 2020
- Last updated
- Jan 3, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351046236 | MI | |
| Family Medicine Physician | 207Q00000X | D0101651 | MD | Primary |
Addresses
Primary practice location
3501 John Simmons St Ste A201
Urbana, MD 21704-7964
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (667) 306-7130
Other practice location 1
G3230 Beecher Rd Ste 1
Flint, MI 48532-3604
Phone (810) 342-5656
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Johns Hopkins Community Physicians, Inc
Practice addresses (Care Compare)
187 Thomas Johnson Dr
Frederick, MD 21702-4503
3501 John Simmons St
Suite A201
Urbana, MD 21704-7964
Phone (240) 699-1050
4224 Altamont PL
Suite 201
White Plains, MD 20695-3052
Phone (240) 607-1500
45 Thomas Johnson Dr
Frederick, MD 21702-4425
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0101651 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
3501 John Simmons St
Ste A201
Urbana, MD 21704
Phone (240) 699-1050
4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500
6101 Redwood Square Ctr
Ste 200
Centreville, VA 20121
Phone (703) 631-0331
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
Interoperability endpoints
- kkim1312738@direct.hopkinsmedicine.org
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Physical Medicine & Rehabilitation Physician
- Nottingham, MD
- NPI 1194546192
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Home Care
- Home Health Agency
- Frederick, MD
- NPI 1306842174
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1861018129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "667-306-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHN SIMMONS ST STE A201",
"city": "URBANA",
"state": "MD",
"postal_code": "217047964",
"telephone_number": "240-699-1050",
"fax_number": "410-367-2353"
}
],
"practiceLocations": [
{
"address_1": "G3230 Beecher Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323604",
"country_code": "US",
"telephone_number": "810-342-5656",
"fax_number": "810-342-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "KI YU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4351046236",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0101651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, MD
- Robert L. Gertz, O.D.
- Growth & Healing LLC
- Kristine Halley, PHARMD
- Kara Johnson-Smith, LCMFT
- Erin Leigh Johnson, M.S., OTR/L
- Christiana Michelle King, LGPC
- Anna V Kopit, D.D.S.
- Jessica Lacayo, FNP-BC
- Leadbetter Rehabilitation, LLC
- Marriage Health Coaching, LLC (Urbana Marriage and Family Therapy Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.