Ki Yu Kim, MD is a medicare enrolled "Family Medicine" physician in Urbana, Maryland. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Johns Hopkins Community Physicians, Inc, Amber Hill Physical Therapy Inc and his current practice location is
3501 John Simmons St Ste A201, Urbana, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 699-1050.
Ki Yu Kim is licensed to practice in Maryland (license number D0101651) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861018129.
Physician's Profile
| Full Name | Ki Yu Kim |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 8 Years |
|---|
| Location | 3501 John Simmons St Ste A201, Urbana, Maryland |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ki Yu Kim graduated from medical school in 2018
NPI Data:
- NPI Number: 1861018129
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749603298
- Enrollment ID: I20241231003672
Medical Identifiers
Medical identifiers for Ki Yu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861018129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 4351046236 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | D0101651 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Johns Hopkins Community Physicians, Inc | 8325943707 | 683 |
| Amber Hill Physical Therapy Inc | 8527963917 | 227 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ki Yu Kim allows following entities to bill medicare on his behalf.
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770518003 PECOS PAC ID: 8325943707 Enrollment ID: O20031201000115 |
|---|
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ki Yu Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ki Yu Kim, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (667) 306-7130 | Ki Yu Kim, MD 3501 John Simmons St Ste A201, Urbana, MD 21704-7964 Ph: (240) 699-1050 |
Reviews and Comments