IN TAE KIM
NPI 1619296423
Anesthesiology in Gaithersburg, MD
About In Tae Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IN TAE KIM (NPI 1619296423) is an individual anesthesiology provider in Gaithersburg, Maryland, licensed in Maryland (D85107) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
In Tae Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show In Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gaithersburg, MD 20879
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GAITHERSBURG, MD 20879
GAITHERSBURG, MD 20879
GAITHERSBURG, MD 20879
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 In Kim's NPI number?
The NPI number for In Kim is 1619296423. It was assigned to this individual provider in the NPPES registry on May 19, 2010.
Where is In Kim located?
In Kim practices at 655 Watkins Mill Rd, Gaithersburg, MD 20879. The listed phone number is (240) 632-4000.
What is In Kim's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is In Kim enrolled in Medicare?
Yes. In Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for In Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), In Kim reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, 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 In 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 In Kim was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# In Tae Kim · NPI 1619296423
Anesthesiology physician in Gaithersburg, Maryland. Individual provider, active in the CMS NPPES registry since May 19, 2010.
## Identity
- **NPI:** 1619296423 (Entity type: Individual)
- **Enumerated:** May 19, 2010
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D85107 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 655 WATKINS MILL RD, Gaithersburg, MD 20879-3301
- **Phone:** (240) 632-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1831471713, Gaithersburg, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619296423) · Data from the CMS NPPES public registry.