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LYDIA KIM
NPI 1043586548
Pediatrics in Baltimore, MD

Active since March 28, 2012PECOS Enrolled
200 N WOLFE ST STE 3075, BALTIMORE, MD 21287(410) 955-2035(410) 955-1030 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, May 24, 2019, Jan 11, 2019 (3 updates tracked since 2019).

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

NPI1043586548
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLYDIA KIM
Location Address200 N WOLFE ST STE 3075Baltimore, MD 21287
Mailing Address9910 Franklin Square Dr # 2110Baltimore, MD 21236-4902 · (410) 933-6421 · Fax (410) 955-1030
Phone(410) 955-2035
Fax(410) 955-1030
Sole ProprietorNo
Enumeration DateMarch 28, 2012
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1043586548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D80188
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 N WOLFE ST STE 3075, Baltimore, MD 21287
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Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1544 · Phone (410) 328-6662

Other Identifiers 1

OtherD80188MD · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIANNA AOYAMA M.D.
Pediatrics (Pediatric Pulmonology)
200 N WOLFE ST STE 3075
BALTIMORE, MD 21287
Baltimore City (410) 955-2035

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.

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.