Active NPI
Chang Yong Kim, DPM
- Podiatrist
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01780
- Practice address
- 4701 Randolph Rd
Rockville, MD 20852-2257 - Phone
- (240) 206-6274
- Fax
- (240) 599-4344
- NPI assigned
- Apr 12, 2017
- Last updated
- Jun 14, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01780 | MD | Primary |
| Podiatrist | 213E00000X | 0103301376 | VA |
Addresses
Primary practice location
4701 Randolph Rd
Rockville, MD 20852-2257
Mailing address
4701 Randolph Rd Ste 103
Rockville, MD 20852-2260
Phone (240) 206-6274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4701 Randolph Rd
Suite 103
Rockville, MD 20852-2260
Phone (216) 217-9322
7483 Candlewood Rd
Suite a
Hanover, MD 21076-3142
Phone (240) 206-6274
94 S Ave
Harrisonburg, VA 22801-2827
Phone (646) 921-0907
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 155 |
| Removal or shaving of skin growth | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01780 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Eastern Podiatry PLLC | Podiatrist | Current | Accepting new patients |
| Kim Podiatry LLC | Podiatrist | Current | Accepting new patients |
| In Step Podiatry Center, LLC | Podiatrist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| New Era Healthcare Inc. | Current | Accepting new patients | |
| Eastern Podiatry PLLC | Podiatrist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Lewis J Sims DPM P.C. | Podiatrist | Past | Accepting new patients |
| Foot Forward Podiatry, LLC | Past | Accepting new patients |
Locations
2905 Mitchellville Rd
Ste 105
Bowie, MD 20716
Phone (240) 929-4844
7483 Candlewood Rd
Ste A
Hanover, MD 21076
Phone (240) 206-6274
4601 Presidents Dr
Lanham, MD 20706
Phone (240) 429-7652
4601 Presidents Dr
Ste 360
Lanham, MD 20706
Phone 3014300337101
3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500
4701 Randolph Rd
Ste 103
Rockville, MD 20852
Phone (216) 217-9322
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
1550 Wilson Blvd
Ste 105
Arlington, VA 22209
Phone (571) 487-8301
1550 Wilson Blvd
Ste 640
Arlington, VA 22209
Phone (703) 584-2040
10730 Main St
Fairfax, VA 22030
Phone (703) 491-9500
2922 Telestar Ct
Falls Church, VA 22042
Phone (703) 584-2040
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816
Interoperability endpoints
- 18cykim@cfaortho.emadirect.md
- chang.yong.kim.1@8061.direct.athenahealth.com
- https://api.platform.athenahealth.com/8061/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
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.
-
- Podiatrist
- Lynchburg, VA
- NPI 1598421422
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Falls Church, VA
- NPI 1891134557
-
- Podiatrist
- Lynnwood, WA
- NPI 1104692219
-
dba New Era Healthcare
- Multi-Specialty Clinic/Center
- Richmond, VA
- NPI 1326695339
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1104152552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749859200000",
"number": "1902330400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 RANDOLPH RD STE 103",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522260",
"telephone_number": "240-206-6274",
"fax_number": "240-599-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 RANDOLPH RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522257",
"telephone_number": "240-206-6274",
"fax_number": "240-599-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHANG YONG",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2025-06-14",
"certification_date": "2025-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01780",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103301376",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.