Active NPI
Tesia G Kim, MD, MSED
- Gynecology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 1013664
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (781) 487-3860
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1013664 | MA | |
| Gynecology Physician | 207VG0400X | 1013664 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2696
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 2
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
Other practice location 3
52 Second Ave
Waltham, MA 02451-1127
Phone (781) 487-6800
Other practice location 4
102 Endicott St
Danvers, MA 01923-3623
Phone (978) 882-6100
Other practice location 5
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200
Other names 1
- Dr. Tesia G Koi
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
- Obstetrics/Gynecology
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
75 Francis St
Boston, MA 02115
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
52 Second Ave
Waltham, MA 02451
Phone (781) 341-3966
Interoperability endpoints
- koi.tesia.nwh@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Obstetrics & Gynecology
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1629636113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "781-487-3860"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2014 Washington St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024621607",
"country_code": "US",
"telephone_number": "617-243-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Second Ave",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024511127",
"country_code": "US",
"telephone_number": "781-487-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Endicott St",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "019233623",
"country_code": "US",
"telephone_number": "978-882-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 Highland Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019702714",
"country_code": "US",
"telephone_number": "978-741-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "TESIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD, MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "1013664",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "1013664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESIA",
"last_name": "KOI",
"middle_name": "G",
"prefix": "DR.",
"credential": "MD, MSED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.