Individual provider Active NPI

Jennifer Leone Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1891114781
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0085701 Issued in MD
Practice address
6565 N Charles St Ste 406
Towson, MD 21204-5803
Phone
(443) 849-2568
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0085701 MD Primary

Addresses

Primary practice location

6565 N Charles St Ste 406
Towson, MD 21204-5803

Mailing address

3976 E Lake Rd
Canandaigua, NY 14424-9779
Phone (570) 362-0421

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
I20241119003621 DC Practitioner - Obstetrics/Gynecology 3971853508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 202
Silver Spring, MD 20902-5006
Phone (301) 681-9101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 30, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc Obstetrics & Gynecology Current Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 30, 2018 Accepting new patients
Holy Cross Health, Inc Past Accepting new patients

Locations

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6565 N Charles St
Ste 406
Towson, MD 21204
Phone (443) 849-2568

Interoperability endpoints

  • Direct secure messaging: jennifer.leonekim.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 5

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1891114781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 E LAKE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249779",
            "telephone_number": "570-362-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 406",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045803",
            "telephone_number": "443-849-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "middle_name": "LEONE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0085701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.