IN TAE KIM
NPI 1619296423
Anesthesiology in Gaithersburg, MD

Active since May 19, 2010PECOS EnrolledAccepts Medicare Assignment
655 WATKINS MILL RD, GAITHERSBURG, MD 20879(240) 632-4000 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1619296423
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameIN TAE KIM
Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3301
Mailing Address11328 Liberty StFulton, MD 20759-2509
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2010
Enumeration DateMay 19, 2010
Last NPPES UpdateJune 27, 2021
NPPES CertifiedJune 27, 2021
NPI 1619296423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MD · D85107
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
655 WATKINS MILL RD, Gaithersburg, MD 20879

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3173749488
PECOS Enrollment IDI20180823001949
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.

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.

Pediatrics
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Student in an Organized Health Care Education/Training Program
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Emergency Medicine
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Pharmacist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Registered Nurse (Lactation Consultant)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
General Acute Care Hospital
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Radiologic Technologist (Computed Tomography)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Audiologist
655 WATKINS MILL RD
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.

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.