Kyung H Kim, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

212007 Issued in MA

Practice address

100 Central St
4TH Floor
Worcester, MA 01608-1209

Phone

(508) 831-0708

Fax

(508) 831-0272

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Gastroenterology

Education

Rutgers New Jersey Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New England Gastroenterology Associates, PCGroup PAC ID 5698665388, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
• St Vincent Hospital Hospital, Worcester, MA, CCN 220176

Merit-based Incentive Payment System (MIPS)

Final score

18.89 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

62.96

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New England Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1497753958
  Medicare reassignment Care Compare group
• Adult Medicine Physicians, LLC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1992701312
  NPD (past)

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

• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 7 Inc

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1538131214
  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1619974656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "4TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-0708",
            "fax_number": "508-831-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "4TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-0708",
            "fax_number": "508-831-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUNG",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "212007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ji Hyang Kim, LCSW
• Jihang Kim
• Jiwon Kim
• Katherine Jin Kim
• Kimberly Kim
• Maria C Kim, MD
• Seong Yoon Kim, MD
• Sohye Kim, PH.D.
• Sun S Kim, RN PC
• Susan Anjeen Kim, NP

• Gastroenterology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.