KIRYOUNG KIM (AGNP-C) – Nurse Practitioner, NPI 1679125629
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for KIRYOUNG KIM (AGNP-C)
North Broadway, Washington Hill, Baltimore, Maryland, 21213, United States
BALTIMORE, MD 212870019
Phone: (410) 614-3850
Fax: (410) 614-4501
Type: Location
43 TENBY CT
LUTHERVILLE TIMONIUM, MD 210931873
Phone: (857) 225-2031
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $352.
Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: PFIZER INC. ($117).
Total Amount
$352
General + Research + Ownership
Payments
10
Total payment records
General Amount
$352
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $117 |
| Genmab U.S., Inc. | $92 |
| Janssen Biotech, Inc. | $34 |
| Janssen Scientific Affairs, LLC | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20 |
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: 2019-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190910002879 | I | Nurse Practitioner | MD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 325 | 52 | $0 |
Insurance plans in this area (ZIP 21287)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| O T O L A R Y N G O L O G Y | TX | |
| Clinical Psychologist | MD | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| O P H T H A L M O L O G Y | MD | |
| Pulmonary Disease, Internal Medicine | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD |
Reviews
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