KIM BULLOCK MD
NPI 1992734685
Emergency Medicine in Washington, DC
About Kim Bullock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM BULLOCK MD (NPI 1992734685) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD16680) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Bullock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kim Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20017
- Reassigned Medicare billing, District of Columbia enrollment
- 105 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WASHINGTON, DC 20017
WASHINGTON, DC 20017
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 Kim Bullock's NPI number?
The NPI number for Kim Bullock is 1992734685. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Kim Bullock located?
Kim Bullock practices at 1150 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 269-7001.
What is Kim Bullock's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kim Bullock enrolled in Medicare?
Yes. Kim Bullock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kim Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Bullock reassigns Medicare benefits to Cep America LLC (Washington, DC). 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 Kim Bullock'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 Kim Bullock was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kim Bullock, MD · NPI 1992734685
Emergency Medicine physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1992734685 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD16680 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1150 VARNUM ST NE, Washington, DC 20017
- **Phone:** (202) 269-7001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America LLC (NPI 1073914396, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2008
- **Other identifiers:** Medicare UPIN E60715 (DC); Medicare PIN 633894P71 (DC)
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Source: [NPI Profile](https://npiprofile.com/npi/1992734685) · Data from the CMS NPPES public registry.