1. Home
  2. Directory
  3. Maryland
  4. Rockville
  5. Pediatrics
  6. NPI Profile

ELIANA HEEYUN KIM DO
NPI 1629658067
Pediatrics in Rockville, MD

Active since April 09, 2021PECOS Enrolled
12254 ROCKVILLE PIKE, ROCKVILLE, MD 20852(301) 230-2767 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Apr 9, 2021 (2 updates tracked since 2021).

About Eliana Heeyun Kim Do NPPES

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

ELIANA HEEYUN KIM DO (NPI 1629658067) is an individual pediatrics provider in Rockville, Maryland, licensed in Virginia (0102209670) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ashburn.

NPPES Registry Identity

NPI1629658067
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIANA HEEYUN KIMCredential: DO
Location Address12254 ROCKVILLE PIKERockville, MD 20852-1608
Mailing Address12254 Rockville PikeRockville, MD 20852-1608 · (301) 230-2767
Phone(301) 230-2767
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1629658067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0102209670✔ Licensed in MD · H0104955
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12254 ROCKVILLE PIKE, Rockville, MD 20852
Open in Google Maps ↗

Secondary Practice Location 1

Location 119800 Belmont Chase Dr Ste 110Ashburn, VA 20147-3416 · Phone (703) 723-6767

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliana Heeyun Kim Do 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 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PM PEDIATRICS OF MARYLAND LLC
Clinic/Center (Urgent Care)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
ZHINGA MORRIS
Nurse Practitioner (Pediatrics)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
MARK GREGORY RODDY M.D.
Pediatrics (Pediatric Emergency Medicine)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
MS. VIRGINIA JEAN FULTON NP
Nurse Practitioner (Pediatrics)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
FUMITAKA SUGIGUCHI MD
Pediatrics
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767

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 Eliana Kim's NPI number?

The NPI number for Eliana Kim is 1629658067. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Eliana Kim located?

Eliana Kim practices at 12254 Rockville Pike, Rockville, MD 20852. The listed phone number is (301) 230-2767.

What is Eliana Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Eliana Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eliana Kim was last updated on September 30, 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.