Sora Kim

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

265642 Issued in MA

Practice address

295 Varnum Ave
Lowell, MA 01854-2134

Phone

(978) 937-6000

NPI assigned

Jul 20, 2012

Last updated

Nov 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Anesthesiology

Education

Boston University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dha Endoscopy LLCGroup PAC ID 4082614979, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dha Endoscopy LLC

  • Anesthesiology Physician
  • Stoneham, MA
  • NPI 1851921555
  Medicare reassignment Care Compare group NPD
• Atlantic Anesthesia, P.C.

  • Anesthesiology Physician
  • Norwood, MA
  • NPI 1700061652
  Medicare reassignment NPD
• Gbaa Holdings, PLLC

  dba Greater Boston Anesthesia Associates

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592
  Medicare reassignment NPD
• Lowell Anesthesia Associates PLLC

  dba Lowell Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
  • NPI 1063938934
  Medicare reassignment NPD
• Lowell Anesthesiology Service, Inc.

  • Anesthesiology Physician
  • Lowell, MA
  • NPI 1114927282
  Medicare reassignment NPD
• North American Partners in Anesthesia Massachusetts LLC

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1457867020
  Medicare reassignment NPD
• Dha Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Stoneham, MA
  • NPI 1730113325
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1659626141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SEVEN SPRINGS LN",
            "address_2": "APT 107",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-937-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "265642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay N Kilgour, LCSW
• Killer Feet LLC
• Ansony Kim, D.D.S
• Dong Won Kim, D.M.D.
• Sophia L Kim
• Yeachan Kim, DMD
• Evah Kimani
• Veronicah Njambi Kimani III, B.ED
• Winfred Kimani
• David Alan Kimball Sr., CRNA

• Anesthesiology Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.