MELISSA KIM – Physician Assistant, NPI 1043852585

MELISSA KIM is a healthcare provider. based in Lutherville timonium, Maryland. specializing in PHYSICIAN ASSISTANT. The NPI Number for MELISSA KIM is 1043852585

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA KIM
NPI
1043852585
Phone
(443) 431-9049
Address
8512 COUNTRY BROOKE WAY
Enumeration Date
16 October 2019
Last Update Date
16 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2407866684
Graduation Year
2020 (6 years ago)
PAC ID
2466830369
Group Practice PAC ID
2466841028
Professional Enrollment ID
I20250611003935
Address ID
MD207074949LA14421AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

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Provider Addresses for MELISSA KIM

  • 8512 COUNTRY BROOKE WAY

    LUTHERVILLE TIMONIUM, MD 210934766

    Phone: (443) 431-9049

    Type: Mailing

  • Lexington Building, 620, West Lexington Street, Seton Hill, Baltimore, Maryland, 21201, United States

    BALTIMORE, MD 212011508

    Phone: (443) 421-9049

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-12-08 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($32).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-08

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: 2025-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220606001532IPhysician AssistantNYTBD
I20250611003935IPhysician AssistantDCTBD
I20250628000378IPhysician AssistantMDTBD

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 minutes192171$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen103100$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99212Established patient office or other outpatient visit, 10-19 minutes4537$0
81003Automated urinalysis test3531$0
View full utilization report →

Insurance plans in this area (ZIP 21093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466841028View full group profile
NameSpecialtyState
Nurse PractitionerAL
Physician AssistantMD
Emergency Medicine, Family Practice, Family PracticeMD
Physician AssistantOH
Family PracticeMD
Nurse PractitionerMD
Physician AssistantMD
Family PracticeMD
Nurse PractitionerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

Is MELISSA KIM listed with a National Provider Identifier?
Yes — MELISSA KIM has NPI 1043852585 on file in the registry.
Would MELISSA KIM appear as active to a payer?
You can treat MELISSA KIM as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MELISSA KIM?
MELISSA KIM's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MELISSA KIM associated with Lutherville Timonium?
Public fields place MELISSA KIM around Lutherville Timonium, Maryland. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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