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DR. THEODORE Y KIM M.D.
NPI 1275538845
Internal Medicine - Gastroenterology in Laurel, MD

Active since June 20, 2005PECOS Enrolled
7350 VAN DUSEN RD, STE 210, LAUREL, MD 20707(301) 498-5500(301) 498-7346 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore Y Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE Y KIM M.D. (NPI 1275538845) is an individual gastroenterology provider in Laurel, Maryland, licensed in Maryland (D0033979) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275538845
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. THEODORE Y KIMCredential: M.D.
Location Address7350 VAN DUSEN RD, STE 210Laurel, MD 20707-5268
Mailing Address12510 Prosperity Dr, Ste 200Silver Spring, MD 20904-1663 · (240) 485-5200 · Fax (301) 625-6906
Phone(301) 498-5500
Fax(301) 498-7346
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 8, 2016
✔ NPI 1275538845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0033979
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7350 VAN DUSEN RD, Laurel, MD 20707
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Other Identifiers 12

OtherA1130004DC · Carefirst Bcbs Dc
Other2516-0002DC · Carefirst Bsdc
Other10040326MD · Railroad Medicare
OtherN5630029MD · Carefirst Dc/md
Other531224-01MD · Carefirst Bsmd
OtherA1110003DC · Carefirst Bcbs Dc
Medicaid275761300MD
Medicare PIN135992MD
Medicare UPINE53250MD
Medicare PIN504630DC
Medicare PINS553O970MD
OtherP00679066MD · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Y Kim M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Digestive Care, LLC
Same address
Gastroenterology
7350 VAN DUSEN RD STE 410
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1790523249 (Maryland)
  • 109 clinicians in this Medicare group
NPI 1326886870 (301) 498-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
346 services276 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
242 services223 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
147 services144 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
141 services141 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
125 services125 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20707 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

MITCHELL A BARBER DPM
Podiatrist (Foot Surgery)
7350 VAN DUSEN RD, SUITE 310
LAUREL, MD 20707
Prince George's County (301) 490-2216
PAMELA SUMMERS MD
Physical Medicine & Rehabilitation (Pain Medicine)
7350 VAN DUSEN RD
LAUREL, MD 20707
Prince George's County (301) 725-4300
DORIANN R THOMAS MD
Radiology (Diagnostic Radiology)
7350 VAN DUSEN RD
LAUREL, MD 20707
Prince George's County (301) 725-5398
TRISTAN JORGE ORELLANO MD
Surgery
7350 VAN DUSEN RD, SUITE 340
LAUREL, MD 20707
Prince George's County (301) 725-5557
DR. HILARY UNAEGBU PHARM.D.
Pharmacist
7350 VAN DUSEN RD
LAUREL, MD 20707
Prince George's County (301) 604-8500
DR. UZOCHUKWU WILFRED UNEGBU MD
Family Medicine
7350 VAN DUSEN RD, SUITE 390
LAUREL, MD 20707
Prince George's County (301) 604-8000
FEROZ A PADDER
Internal Medicine (Cardiovascular Disease)
7350 VAN DUSEN RD, SUITE B 40
LAUREL, MD 20707
Prince George's County (240) 456-4772
INTRAMED INFUSION CENTER PA
Internal Medicine (Infectious Disease)
7350 VAN DUSEN RD, SUITE 220
LAUREL, MD 20707
Prince George's County (301) 604-8000

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 Theodore Kim's NPI number?

The NPI number for Theodore Kim is 1275538845. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Theodore Kim located?

Theodore Kim practices at 7350 Van Dusen Rd Ste 210, Laurel, MD 20707. The listed phone number is (301) 498-5500.

What is Theodore Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Theodore Kim enrolled in Medicare?

Yes. Theodore Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Kim reassigns Medicare benefits to Capital Digestive Care, LLC (Laurel, 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 Theodore 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 Theodore Kim was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.