Active NPI
Nancy Dohee Kim, M.D.
- Rheumatology Physician
- Boston, MA
National Provider Identifier
1669447090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- L-221226
- Practice address
- 55 Fruit St
Massachusetts General Hospital, Yawkey 2C
Boston, MA 02114-2621 - Phone
- (617) 726-7938
- NPI assigned
- Feb 20, 2006
- Last updated
- Dec 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | L-221226 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Massachusetts General Hospital, Yawkey 2C
Boston, MA 02114-2621
Mailing address
30 Kilsyth Rd
#31
Brookline, MA 02445-2067
Phone (617) 388-9754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-221226 | MA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1669447090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 KILSYTH RD",
"address_2": "#31",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024452067",
"telephone_number": "617-388-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 2C",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NANCY",
"middle_name": "DOHEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "L-221226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.