Individual provider Active NPI

Minji Kim, FNP

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1891599551
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R207259 Issued in MD
Practice address
12800 Middlebrook Rd Ste 205
Germantown, MD 20874-5294
Phone
(301) 358-2030
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R207259 MD Primary

Addresses

Primary practice location

12800 Middlebrook Rd Ste 205
Germantown, MD 20874-5294

Mailing address

12800 Middlebrook Rd Ste 205
Germantown, MD 20874-5294
Phone (301) 358-2030

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004077 DC Practitioner - Nurse Practitioner 5799288320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakhvinder Wadhwa MD LLCGroup PAC ID 9335483353, 5 clinicians

Practice addresses (Care Compare)

12800 Middlebrook Rd
Suite 205
Germantown, MD 20874-5294
Phone (301) 358-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R207259MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakhvinder Wadhwa MD LLC CurrentSince Sep 10, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12800 Middlebrook Rd
Ste 205
Germantown, MD 20874
Phone (301) 358-2030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18847/brand/1/csg/1/fhir/r4

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1891599551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 MIDDLEBROOK RD STE 205",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745294",
            "telephone_number": "301-358-2030",
            "fax_number": "240-801-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MIDDLEBROOK RD STE 205",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745294",
            "telephone_number": "301-358-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINJI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.