Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chang Yong Kim, DPM

Individual provider Podiatrist · NPI 1902330400

Chang Yong Kim, DPM is a Podiatry in Rockville, Maryland. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
9
Licensed in
MD, VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4701 Randolph Rd
Rockville, MD 20852-2257
Phone: (240) 206-6274
Fax: (240) 599-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 01780 (MD)
Podiatrist Taxonomy 213E00000X · Licence 0103301376 (VA)

Record details

NPI number1902330400
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESJune 14, 2025
Certification dateJune 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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