Individual provider Active NPI

Ji Yon Hwang-Ki, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1881899706
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D66159 Issued in MD
Practice address
14804 Physicians LN
Suite 121
Rockville, MD 20850-3941
Phone
(301) 610-6630
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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 D66159 MD Primary

Addresses

Primary practice location

14804 Physicians LN
Suite 121
Rockville, MD 20850-3941

Mailing address

14804 Physicians LN
Suite 121
Rockville, MD 20850-3941
Phone (301) 610-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000691 DC Practitioner - Internal Medicine 9335236926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15200 Shady Grove Rd
Suite 108
Rockville, MD 20850-3218
Phone (301) 610-6630

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jiki Medical Associates, LLC CurrentSince Jul 20, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14804 Physicians Ln
Ste 121
Rockville, MD 20850
Phone (301) 309-1238

15200 Shady Grove Rd
Ste 108
Rockville, MD 20850
Phone (301) 610-6630

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1881899706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14804 PHYSICIANS LN",
            "address_2": "SUITE 121",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503941",
            "telephone_number": "301-610-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 PHYSICIANS LN",
            "address_2": "SUITE 121",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503941",
            "telephone_number": "301-610-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG-KI",
        "first_name": "JI YON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D66159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.