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KIM PODIATRY LLC
NPI 1194538918
Podiatrist in Rockville, MD

Active since January 27, 2025
4701 RANDOLPH RD STE 103, ROCKVILLE, MD 20852(216) 217-9322 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Jun 13, 2025, Feb 25, 2025 (3 updates tracked since 2025).

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

NPI1194538918
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameKIM PODIATRY LLC
Location Address4701 RANDOLPH RD STE 103Rockville, MD 20852-2260
Mailing Address4701 Randolph Rd Ste 103Rockville, MD 20852-2260 · (240) 206-6274
Phone(216) 217-9322
Organization SubpartNo
Authorized OfficialChang Yong KimOwner · (240) 206-6274
Enumeration DateJanuary 27, 2025
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1194538918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4701 RANDOLPH RD STE 103, Rockville, MD 20852
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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 11 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.