Ki Yu Kim, MD - Medicare Family Medicine in Urbana, MD

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Ki Yu Kim, MD is a medicare enrolled "Family Medicine" physician in Urbana, Maryland. His current practice location is 3501 John Simmons St Ste A201, Urbana, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 699-1050.

Ki Yu Kim is licensed to practice in Maryland (license number D0101651) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861018129.

Contact Information

Ki Yu Kim, MD
3501 John Simmons St Ste A201,
Urbana, MD 21704-7964
(240) 699-1050
(410) 367-2353

Map and Direction




Physician's Profile

Full NameKi Yu Kim
GenderMale
SpecialityFamily Medicine
Location3501 John Simmons St Ste A201, Urbana, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861018129
  • Provider Enumeration Date: 06/23/2020
  • Last Update Date: 01/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749603298
  • Enrollment ID: I20231128000095

Medical Identifiers

Medical identifiers for Ki Yu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861018129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351046236 (Michigan)Secondary
207Q00000XFamily Medicine D0101651 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ki Yu Kim allows following entities to bill medicare on his behalf.
Entity NameInova Physician Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264916
PECOS PAC ID: 2466581772
Enrollment ID: O20100525000846

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ki Yu Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ki Yu Kim, MD
6201 Greenleigh Ave,
Middle River, MD 21220-2004

Ph: (667) 306-7130		Ki Yu Kim, MD
3501 John Simmons St Ste A201,
Urbana, MD 21704-7964

Ph: (240) 699-1050

Reviews and Comments


Family Medicine Doctors in Urbana, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.