KIM PODIATRY LLC
NPI 1194538918
Podiatrist in Rockville, MD
About Kim Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM PODIATRY LLC (NPI 1194538918) is a healthcare organization registered as a podiatrist in Rockville, Maryland and active in the NPI registry since January 2025. The organization lists Chang Yong Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Podiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kim Podiatry LLC's NPI number?
The NPI number for Kim Podiatry LLC is 1194538918. It was assigned to this organization in the NPPES registry on January 27, 2025.
Where is Kim Podiatry LLC located?
Kim Podiatry LLC is located at 4701 Randolph Rd Ste 103, Rockville, MD 20852. The listed phone number is (216) 217-9322.
What is Kim Podiatry LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Kim Podiatry LLC enrolled in Medicare?
Yes. Kim Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kim Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kim Podiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kim Podiatry LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kim Podiatry Llc · NPI 1194538918
Podiatrist organization in Rockville, Maryland. Organization record, active in the CMS NPPES registry since January 27, 2025.
## Identity
- **NPI:** 1194538918 (Entity type: Organization)
- **Enumerated:** January 27, 2025
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Chang Yong Kim, OWNER
## Practice location
- **Address:** 4701 RANDOLPH RD STE 103, Rockville, MD 20852-2260
- **Phone:** (216) 217-9322
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194538918) · Data from the CMS NPPES public registry.