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

Q: 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.

Q: What is Tamara Kim's specialty?

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

Q: 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 2 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.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

University Of Maryland Community Medical Group, Inc.

29 mi

Family Medicine

821 N EUTAW ST
Baltimore, MD 21201

Reassigned Medicare billing, Maryland enrollment
966 clinicians in this Medicare group

NPI 1477530624 (443) 552-2900

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

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.

Which organization bills Medicare for Tamara Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Kim reassigns Medicare benefits to University Of Maryland Community Medical Group, Inc. (Baltimore, 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 Tamara 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 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 2 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.