Individual provider Active NPI

Andrew Kim, MD

  • Dermatology Physician
  • Concord, NH
National Provider Identifier
1235572207
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18120 Issued in NH
Practice address
253 Pleasant St
Concord, NH 03301-7560
Phone
(603) 226-6119
Fax
(603) 640-1228
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 18120 NH Primary

Addresses

Primary practice location

253 Pleasant St
Concord, NH 03301-7560

Mailing address

253 Pleasant Street
Dartmouth Hitchcock - Dermatology
Concord, NH 03301
Phone (603) 226-6119

Other practice location 1

171 Pleasant St Ste 101
Concord, NH 03301-2625
Phone (603) 609-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20170921003251 NH Practitioner - Dermatology 7719206226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Suite A306
Exeter, NH 03833-4848
Phone (603) 294-4635

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

171 Pleasant St
Suite 101
Concord, NH 03301-2625
Phone (603) 609-9344

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of tissue1-10
Removal of skin lesions1862
Removal or shaving of skin growth22
Skin biopsy343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 12, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 12, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 1, 2017 Accepting new patients
Optima Dermatology LLC Dermatology CurrentSince Nov 17, 2025 Accepting new patients
Ace Physical Therapy LLC PastSince Apr 7, 2008 Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

171 Pleasant St
Ste 101
Concord, NH 03301
Phone (603) 228-7500

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: akim297536@direct.dartmouth-hitchcock.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1235572207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 PLEASANT STREET",
            "address_2": "DARTMOUTH HITCHCOCK - DERMATOLOGY",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-226-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017560",
            "telephone_number": "603-226-6119",
            "fax_number": "603-640-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Pleasant St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012625",
            "country_code": "US",
            "telephone_number": "603-609-9344",
            "fax_number": "603-836-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.