CHANG YONG KIM DPM
NPI 1902330400
Podiatrist in Rockville, MD
About Chang Yong Kim Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANG YONG KIM DPM (NPI 1902330400) is an individual podiatrist in Rockville, Maryland, licensed in Maryland (01780) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chang Yong Kim Dpm 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.
Medicare Billing Reassignments
4Medicare enrollment records show Chang Yong Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20852
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
Bethesda, MD 20817
- Reassigned Medicare billing, District of Columbia enrollment
- 374 clinicians in this Medicare group
Bowie, MD 20716
- Reassigned Medicare billing, District of Columbia enrollment
- 3 clinicians in this Medicare group
Staten Island, NY 10314
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
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.
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.
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.
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
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 Chang Yong Kim's NPI number?
The NPI number for Chang Yong Kim is 1902330400. It was assigned to this individual provider in the NPPES registry on April 12, 2017.
Where is Chang Yong Kim located?
Chang Yong Kim practices at 4701 Randolph Rd, Rockville, MD 20852. The listed phone number is (240) 206-6274.
What is Chang Yong Kim's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Chang Yong Kim enrolled in Medicare?
Yes. Chang Yong 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.
Which organizations bill Medicare for Chang Yong Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chang Yong Kim reassigns Medicare benefits to 4 organizations: Kim Podiatry LLC (Rockville, MD), Centers For Advanced Orthopaedics, LLC (Bethesda, MD), In Step Podiatry Center, LLC (Bowie, MD) and Foot Forward Podiatry PC (Staten Island, NY). Each 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 Chang Yong 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 Chang Yong Kim was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Chang Yong Kim, DPM · NPI 1902330400
Podiatrist provider in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1902330400 (Entity type: Individual)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 01780 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4701 RANDOLPH RD, Rockville, MD 20852-2257
- **Phone:** (240) 206-6274 · **Fax:** (240) 599-4344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Kim Podiatry LLC (NPI 1194538918, Rockville, MD); Centers For Advanced Orthopaedics, LLC (NPI 1164861811, Bethesda, MD); In Step Podiatry Center, LLC (NPI 1245527258, Bowie, MD); Foot Forward Podiatry PC (NPI 1487314332, Staten Island, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902330400) · Data from the CMS NPPES public registry.