Individual provider Active NPI

Maria C Kim, MD

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1366459588
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151926 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-1443
Fax
(508) 334-1448
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151926 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000969 MA Practitioner - Internal Medicine 3274503164 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masstex Imaging, LLCGroup PAC ID 6709809585, 12 clinicians

Practice addresses (Care Compare)

3 Electronics Ave
Suite 201
Danvers, MA 01923-1099
Phone (978) 750-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151926MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2022 Accepting new patients
Wellesley Primary Care Medicine, PC CurrentSince Apr 1, 2015 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince May 9, 2016 Accepting new patients
Masstex Imaging, LLC CurrentSince Feb 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jun 7, 2024 Accepting new patients
Maria Kim M.D. Internal Medicine, LLC Current Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Current Accepting new patients
Massachusetts Acute Care Specialists PC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince May 9, 2016 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

3 Electronics Ave
Ste 201
Danvers, MA 01923
Phone (978) 750-0300

1280 W Central St
Ste 201
Franklin, MA 02038
Phone (508) 541-2436

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

67 Union St
Natick, MA 01760
Phone (508) 383-1104

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

604 Main St
Shrewsbury, MA 01545
Phone (508) 842-0057

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

65 Walnut St
Ste 500
Wellesley Hills, MA 02481
Phone (781) 431-2345

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

385 Grove St
Worcester, MA 01605
Phone (508) 453-8802

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1366459588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-1443",
            "fax_number": "508-334-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.