KIRYOUNG KIM AGNP-C
NPI 1679125629
Nurse Practitioner in Baltimore, MD

Active since July 10, 2019PECOS Enrolled
74.39/100
CMS Quality Rating
401 N BROADWAY ST, BALTIMORE, MD 21287(410) 614-3850(410) 614-4501 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2019, Jul 10, 2019 (2 updates tracked since 2019).

About Kiryoung Kim Agnp-c NPPES

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

KIRYOUNG KIM AGNP-C (NPI 1679125629) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R214235) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1679125629
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIRYOUNG KIMCredential: AGNP-C
Location Address401 N BROADWAY STBaltimore, MD 21287-0019
Mailing Address43 Tenby CtLutherville Timonium, MD 21093-1873 · (857) 225-2031
Fax(410) 614-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 10, 2019
Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration
NPI 1679125629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R214235
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
401 N BROADWAY ST, Baltimore, MD 21287

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kiryoung Kim Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416286893
PECOS Enrollment IDI20190910002879
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
535 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Nurse Practitioner (Acute Care)
401 N BROADWAY ST, WEINBERG 3A
BALTIMORE, MD 21287
Pathology (Hematology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Internal Medicine
401 N BROADWAY ST
BALTIMORE, MD 21287
Pathology (Anatomic Pathology & Clinical Pathology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
401 N BROADWAY ST
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Registered Nurse
401 N BROADWAY ST
BALTIMORE, MD 21287

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 Kiryoung Kim's NPI number?

The NPI number for Kiryoung Kim is 1679125629. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Kiryoung Kim located?

Kiryoung Kim practices at 401 N Broadway St, Baltimore, MD 21287. The listed phone number is (410) 614-3850.

What is Kiryoung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kiryoung Kim enrolled in Medicare?

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

Is Kiryoung Kim affiliated with any hospitals?

According to CMS data, Kiryoung Kim is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Kiryoung Kim was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.