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

Derek Taeyoung Kim

Individual provider Diagnostic Radiology Physician · NPI 1225533045

Derek Taeyoung Kim is an Interventional Radiology in Silver Spring, Maryland. Qualified in 2018, 8 years ago. Practices with Professional Services of Holy Cross, a 159-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone: (301) 754-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence D0100497 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0100497 (MD)

Record details

NPI number1225533045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2018
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address1500 Forest Glen Rd, Silver Spring, MD 20910-1460

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Professional Services Of Holy Cross — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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