Kim Podiatry LLC
NPI 1194538918ActiveOrganization· Podiatrist· Rockville, MD
Podiatrist in Rockville, Maryland, registered in NPPES in January 2025. The authorized official on file is Chang Yong Kim, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - podiatry.
Overview
| NPI | 1194538918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2025 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); DME Supplier - Physician - Podiatry (MD); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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