SOON JA KIM (MD) – Family Medicine Physician, NPI 1023095643

SOON JA KIM (MD) is a healthcare provider. based in Elkridge, Maryland. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. D0022832 (MD). The NPI Number for SOON JA KIM (MD) is 1023095643

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
SOON JA KIM (MD)
NPI
1023095643
Phone
(410) 796-7730
Address
5808 MAIN ST
Enumeration Date
23 December 2005
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
WOMAN'S MEDICAL COLLEGE
Secondary Phone
4107967730
Graduation Year
1975 (51 years ago)
PAC ID
8224164462
Professional Enrollment ID
I20100327000006
Address ID
MD210755105EL5808XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,488 FAMILY PRACTICE in MD

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Provider Addresses for SOON JA KIM (MD)

  • 5808, Main Street, Lawyers Hill, Elkridge, Howard County, Maryland, 21075, United States

    ELKRIDGE, MD 210755105

    Phone: (410) 796-7730

    Fax: (410) 379-1537

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $3,507.

Total Amount is formed as General ($3,507) + Research ($0) + Ownership ($0) = $3,507.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,033).

Total Amount

$3,507

General + Research + Ownership

Payments

112

Total payment records

General Amount

$3,507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100327000006IFamily PracticeMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes994346$0
36410Insertion of needle into vein (3 years or older)565287$0
99214Established patient office or other outpatient visit, 30-39 minutes170137$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8277$0
81000Manual urinalysis test with examination using microscope, non-automated5333$0
View full utilization report →

Insurance plans in this area (ZIP 21075)

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Reviews

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Frequently asked questions

Is there an official ID for SOON JA KIM (MD) in U.S. healthcare records?
The official identifier for SOON JA KIM (MD) is NPI 1023095643.
Would SOON JA KIM (MD) appear as active to a payer?
You can treat SOON JA KIM (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SOON JA KIM (MD)?
SOON JA KIM (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SOON JA KIM (MD) located near Elkridge?
SOON JA KIM (MD) currently maps to Elkridge, Maryland in this extract.
Does SOON JA KIM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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