Allis Kim, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

157401 Issued in MA

Practice address

65 Fremont St
Marlborough, MA 01752-1271

Phone

(508) 485-3665

Fax

(508) 485-0899

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Surgical Associates of Lowell, P.C.Group PAC ID 4880506484, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerson Hospital Home Care Program Home health agency, Concord, MA, CCN 227072
• Emerson Hospital - Hospital, W Concord, MA, CCN 220084
• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allis.kim.1@1154.direct.athenahealth.com
• Direct secure messaging: akim108720@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • North Chelmsford, MA
  • NPI 1457361040

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment NPD
• Orthopaedic Associates of Marlboro, PC

  • Specialist
  • Marlboro, MA
  • NPI 1235174699

  Sports Medicine

  Medicare reassignment NPD
• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • Westford, MA
  • NPI 1568055309
  NPD
• Capital Region Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Albany, NY
  • NPI 1871533216

  Sports Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1134254519

  Home health agency

  Care Compare affiliation
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1053400879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-485-3665",
            "fax_number": "508-485-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-485-3665",
            "fax_number": "508-485-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "157401",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MA",
            "license": "157401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7446715",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10100115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "658G61",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670579",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "790107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NENY",
            "identifier": "000409533001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asma Khan
• Kidney & Hypertension Clinic, Inc
• Kelsea Kidney
• Sneha Kilari, M.D.
• Sermin Merve Kilicaslan
• Jenny Kim, DMD
• Min Jung Kim, D.M.D.
• Ashley King
• Julianna Frances Kinslow
• Biankah Kiser-Miranda

• Sports Medicine (Orthopaedic Surgery) Physician in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.