Susie Kim

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

D90616 Issued in MD

Practice address

90 Ritchie Hwy
Pasadena, MD 21122-4303

Phone

(410) 987-2003

NPI assigned

Mar 25, 2014

Last updated

Feb 1, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skim1027549@direct.umm.edu

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.

• Hospice of the Chesapeake, Inc

  dba Chesapeake Supportive Care

  • Community Based Hospice Care Agency
  • Pasadena, MD
  • NPI 1750575908

  DC

  Medicare reassignment NPD
• Hospice of the Chesapeake, Inc

  • Community Based Hospice Care Agency
  • Waldorf, MD
  • NPI 1194748558

  Family Medicine

  NPD

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1861819153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35132226",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D90616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukul Khandelwal, MD
• Nidhi Khullar, DO
• Sarah Alice Kiesling, PA-C
• Dahae Kim
• Myung in Kim, PHARMD
• KJB Healthcare LLC
• Judith Klein
• Terry Lee Klug, LPN
• Donald F Kneessi Jr., LGPC
• Kathleen Kniess, PHARMD

• Hospice and Palliative Medicine (Family Medicine) Physician in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.

Verify at the official NPI Registry.