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ANA KIM
NPI 1316351364
Dentist - Endodontics in Rockville, MD

Active since June 18, 2014Opted out of Medicare · through Jan 7, 2028
5904 HUBBARD DR, ROCKVILLE, MD 20852(301) 377-8306(301) 597-7757 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Jul 6, 2022, Dec 18, 2020 and 1 more (4 updates tracked since 2019).

About Ana Kim NPPES

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

ANA KIM (NPI 1316351364) is an individual endodontics provider in Rockville, Maryland, licensed in Maryland (16908) and active in the NPI registry since June 2014. She has opted out of Medicare through January 7, 2028 and remains eligible to order and refer and maintains a secondary practice location in Vienna.

NPPES Registry Identity

NPI1316351364
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameANA KIM
Location Address5904 HUBBARD DRRockville, MD 20852-4823
Mailing Address5904 Hubbard DrRockville, MD 20852-4823 · (301) 377-8306 · Fax (301) 597-7757
Phone(301) 377-8306
Fax(301) 597-7757
Sole ProprietorYes
Enumeration DateJune 18, 2014
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1316351364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in MD · 16908✔ Licensed in VA · 0401416929
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
5904 HUBBARD DR, Rockville, MD 20852
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Secondary Practice Location 1

Location 1311 Maple Ave W Ste JVienna, VA 22180-4309 · Phone (571) 669-4088 · Fax (301) 597-7757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ana Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2016 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2016
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 2

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

DR. DONG-JIN SHIN DMD., MS
Dentist (Prosthodontics)
5904 HUBBARD DR
NORTH BETHESDA, MD 20852
Montgomery County (301) 377-8306
SHIN PROSTHODONTICS LLC
Dentist (Prosthodontics)
5904 HUBBARD DR
NORTH BETHESDA, MD 20852
Montgomery County (301) 377-8306

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 Ana Kim's NPI number?

The NPI number for Ana Kim is 1316351364. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Ana Kim located?

Ana Kim practices at 5904 Hubbard Dr, Rockville, MD 20852. The listed phone number is (301) 377-8306.

What is Ana Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ana Kim enrolled in Medicare?

No. Ana Kim has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ana Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Ana Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ana Kim was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.