Active NPI
Jonathan Youngsuk Kim, M.D.
- Neuroradiology Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 258523
- Practice address
- 85 Herrick St
Beverly, MA 01915-1777 - Phone
- (978) 922-3000
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 258523 | MA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 258523 | MA |
Addresses
Primary practice location
85 Herrick St
Beverly, MA 01915-1777
Mailing address
85 Herrick St
Beverly, MA 01915-1777
Other practice location 1
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
Other practice location 2
235 North Pearl St
Brockton, MA 02301
Phone (508) 427-2665
Other practice location 3
133 Old Road To 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110125592A | Medicaid | MA | |
| 3144679 | Medicaid | NH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Radiology Department
Concord, MA 01742-4159
Phone (978) 287-3794
148 Chestnut St
Needham, MA 02492-2505
Phone (781) 453-3000
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
10 Little Brook Rd
West Wareham, MA 02576
Interoperability endpoints
- jkim252318@direct.bmc.masshiway.net
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
Diagnostic Radiology
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Diagnostic Neuroimaging (Radiology) Physician
- Concord, MA
- NPI 1093838195
-
dba APHMFP-Radiology
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
dba APHMFP-Emergency Medicine
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Radiology - HMFP at BIDMC
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Neuroradiology
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
dba Boston Medical Center - South
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1205123080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151777",
"telephone_number": "978-922-3000"
}
],
"practiceLocations": [
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-789-2762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 North Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "02301",
"country_code": "US",
"telephone_number": "508-427-2665",
"fax_number": "508-427-2368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Old Road To 9 Acre Cor",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017424159",
"country_code": "US",
"telephone_number": "978-287-3794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JONATHAN",
"middle_name": "YOUNGSUK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "258523",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "258523",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110125592A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3144679",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.