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DR. TAMARA KELLER KIM DNP, CPNP-PC
NPI 1497428569
Nurse Practitioner - Pediatrics in Chestertown, MD

Active since July 26, 2021PECOS Enrolled
303 DEVON DR, CHESTERTOWN, MD 21620(410) 591-5828 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Aug 26, 2021, Jul 26, 2021 (3 updates tracked since 2021).

About Dr. Tamara Keller Kim Dnp, Cpnp-pc NPPES

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

DR. TAMARA KELLER KIM DNP, CPNP-PC (NPI 1497428569) is an individual pediatrics provider in Chestertown, Maryland, licensed in Maryland (R157873) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497428569
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. TAMARA KELLER KIMCredential: DNP, CPNP-PC
Location Address303 DEVON DRChestertown, MD 21620-3366
Mailing Address303 Devon DrChestertown, MD 21620-3366 · (410) 591-5828
Phone(410) 591-5828
Sole ProprietorYes
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1497428569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R157873
303 DEVON DR, Chestertown, MD 21620
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tamara Keller Kim Dnp, Cpnp-pc 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 21620 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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 Tamara Kim's NPI number?

The NPI number for Tamara Kim is 1497428569. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Tamara Kim located?

Tamara Kim practices at 303 Devon Dr, Chestertown, MD 21620. The listed phone number is (410) 591-5828.

What is Tamara Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tamara Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tamara Kim was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.