LYDIA KIM
NPI 1043586548
Pediatrics in Baltimore, MD
About Lydia Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA KIM (NPI 1043586548) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D80188) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lydia Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21287
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydia Kim's NPI number?
The NPI number for Lydia Kim is 1043586548. It was assigned to this individual provider in the NPPES registry on March 28, 2012.
Where is Lydia Kim located?
Lydia Kim practices at 200 N Wolfe St Ste 3075, Baltimore, MD 21287. The listed phone number is (410) 955-2035.
What is Lydia Kim's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lydia Kim enrolled in Medicare?
Yes. Lydia Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lydia Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Kim reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lydia Kim was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lydia Kim · NPI 1043586548
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 28, 2012.
## Identity
- **NPI:** 1043586548 (Entity type: Individual)
- **Enumerated:** March 28, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D80188 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 N WOLFE ST STE 3075, Baltimore, MD 21287
- **Phone:** (410) 955-2035 · **Fax:** (410) 955-1030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins University (NPI 1881694453, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2019
- **Other identifiers:** Other D80188 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1043586548) · Data from the CMS NPPES public registry.