KI YU KIM MD
NPI 1861018129
Family Medicine in Urbana, MD

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
3501 JOHN SIMMONS ST STE A201, URBANA, MD 21704(240) 699-1050(410) 367-2353 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Jun 23, 2020 (2 updates tracked since 2020).

About Ki Yu Kim Md NPPES

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

KI YU KIM MD (NPI 1861018129) is an individual family medicine provider in Urbana, Maryland, licensed in Maryland (D0101651) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1861018129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKI YU KIMCredential: MD
Location Address3501 JOHN SIMMONS ST STE A201Urbana, MD 21704-7964
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (667) 306-7130
Fax(410) 367-2353
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 23, 2020
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1861018129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MD · D0101651 Licensed in MI · 4351046236
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3501 JOHN SIMMONS ST STE A201, Urbana, MD 21704

Secondary Practice Location 1

Location 1G3230 Beecher Rd Ste 1Flint, MI 48532-3604 · Phone (810) 342-5656 · Fax (810) 342-5600

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

Ki Yu Kim Md 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 ID749603298
PECOS Enrollment IDI20241231003672
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 4

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.
87 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

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 21704 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
3501 JOHN SIMMONS ST STE A201
URBANA, MD 21704
Internal Medicine
3501 JOHN SIMMONS ST STE A201
FREDERICK, MD 21704

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 Ki Yu Kim's NPI number?

The NPI number for Ki Yu Kim is 1861018129. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Ki Yu Kim located?

Ki Yu Kim practices at 3501 John Simmons St Ste A201, Urbana, MD 21704. The listed phone number is (240) 699-1050.

What is Ki Yu Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ki Yu Kim enrolled in Medicare?

Yes. Ki Yu 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.

Is Ki Yu Kim affiliated with any hospitals?

According to CMS data, Ki Yu Kim is affiliated with Frederick Health Hospital and Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Ki Yu Kim was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.