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ELIZABETH KIM
NPI 1619599420
Psychiatry & Neurology - Child & Adolescent Psychiatry in Baltimore, MD

Active since May 14, 2020PECOS Enrolled
1741 ASHLAND AVE, BALTIMORE, MD 21205(443) 923-7600 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2025, May 14, 2020 (2 updates tracked since 2020).

About Elizabeth Kim NPPES

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

ELIZABETH KIM (NPI 1619599420) is an individual child & adolescent psychiatry provider in Baltimore, Maryland, licensed in Maryland (H0100491) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1619599420
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameELIZABETH KIM
Location Address1741 ASHLAND AVEBaltimore, MD 21205-1531
Mailing Address1741 Ashland AveBaltimore, MD 21205-1531
Phone(443) 923-7600
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1619599420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · H0100491
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1741 ASHLAND AVE, Baltimore, MD 21205
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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)

Elizabeth Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971925322
PECOS Enrollment IDI20251009003400
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 Elizabeth Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Krieger Associates
Same address
Pediatrics
1741 ASHLAND AVE
Baltimore, MD 21205
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1326846205 (443) 923-9200

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.

BAOYIA CHALSEA KONG LMSW
Social Worker (School)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (443) 923-1871
MS. FELICIA K GERMAN LCSW-C
Social Worker (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (410) 240-3202
KELLY ANNE BUCHANAN M.A.
Student in an Organized Health Care Education/Training Program
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (667) 205-4178
DR. DANIELLE SAURO VIRGADAMO PSYD
Psychologist (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (609) 501-2458
MIAH PANKEY
Social Worker (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (704) 962-1759
ARIYA HAYES-LAWSON
Social Worker (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (443) 723-9600
JESSICA PONTIUS
Speech-Language Pathologist
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (443) 923-1870
DR. REBECCA L FIX PHD
Psychologist (Clinical Child & Adolescent)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Baltimore City (414) 436-9963

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 Elizabeth Kim's NPI number?

The NPI number for Elizabeth Kim is 1619599420. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Elizabeth Kim located?

Elizabeth Kim practices at 1741 Ashland Ave, Baltimore, MD 21205. The listed phone number is (443) 923-7600.

What is Elizabeth Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Elizabeth Kim enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Kim reassigns Medicare benefits to Kennedy Krieger Associates (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 Elizabeth 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 Elizabeth Kim was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.