Lisa M Kim M D Inc
NPI 1457660110 · Primary Care Clinic/Center · Ellicott City, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa M Kim M D Inc is a Primary Care Clinic/Center organization in Ellicott City, MD (NPI 1457660110).
Provider details
- NPI number
- 1457660110
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Kim, Owner(410) 480-5195
- License
- D52479 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2010-09-29
Frequently asked questions
- What is Lisa M Kim M D Inc's NPI number?
- Lisa M Kim M D Inc's National Provider Identifier (NPI) is 1457660110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lisa M Kim M D Inc?
- Lisa M Kim M D Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lisa M Kim M D Inc located?
- Lisa M Kim M D Inc's practice location on file with NPPES is 3355 Rogers Ave, Ellicott City, MD 21043-4105.
- What is Lisa M Kim M D Inc's phone number?
- The practice phone number listed in the NPPES registry for Lisa M Kim M D Inc is (410) 480-5195.
- Does Lisa M Kim M D Inc accept Medicare?
- Lisa M Kim M D Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lisa M Kim M D Inc?
- The authorized official listed on Lisa M Kim M D Inc's NPPES record is Lisa Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lisa M Kim M D Inc's NPI active?
- Yes — Lisa M Kim M D Inc's NPI (1457660110) is active in the NPPES registry as of the last update on 2010-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.