Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295736338 Individual Practitioner Male Practitioner

Dr. Charles Y Kim , MD

Specialist • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Dr. Charles Kim, MD is a registered healthcare professional specializing in Specialist in Frederick, MD. Practice services are available at 187 THOMAS JOHNSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

187 Thomas Johnson Dr
Suite 7

Frederick, MD 217024503

Telephone 3016956655
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 36.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Frederick, MD (1034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D21016

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
188191400 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Jennifer Bulebush , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1083935472

Master of Science, Occupational Therapist Registered, L

Heather Piner , PT

Physical Therapist

NPI 1124374731

Physical Therapist

Dr. Stanley Chung , MD

Orthopaedic Surgery

NPI 1144229972

Doctor of Medicine (M.D.)

Dennis Quackenbush , PT

Physical Therapist

NPI 1306964606

Physical Therapist

Eileen Cindy Anderson , PT

Physical Therapist

NPI 1356404081

Physical Therapist

Denise Arnett , PT

Physical Therapist

NPI 1356438535

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2011

Registered at 187 THOMAS JOHNSON DR, SUITE 7, FREDERICK, MD 217024503 (Tel: 3016956655)

📍
Updated Business Mailing Address December 05, 2011

Registered at 7177 MEADOWBROOKE DR, FREDERICK, MD 217022552 (Tel: 3016633203)

👤
Provider Name / Credentials Updated December 05, 2011

Recorded as CHARLES KIM, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Specialist (License #D21016 in MD)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295736338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: December 05, 2011
Sole Proprietor: Yes

Mailing Address

7177 Meadowbrooke Dr

Frederick, MD 217022552

Phone: 3016633203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.