Andrew I Kim, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

287489 Issued in MA

Practice address

100 Wason Ave Ste 120
Springfield, MA 01107

Phone

(413) 241-2100

Fax

(413) 735-1986

NPI assigned

Mar 22, 2016

Last updated

May 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

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 2

Specialty

Urology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pioneer Valley Urology, PCGroup PAC ID 7214972207, 15 clinicians

Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital, Springfield, MA, CCN 220077
• Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
• Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
• Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885

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.

• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  Medicare reassignment Care Compare group NPD
• Pioneer Valley Urology, PC

  • Urology Physician
  • Springfield, MA
  • NPI 1750315982

  CT

  Medicare reassignment Care Compare group NPD
• Radiology & Imaging Inc

  • Diagnostic Radiology Physician
  • Springfield, MA
  • NPI 1790731008
  NPD (past)

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

• Baystate Franklin Medical Center

  • General Acute Care Hospital
  • Greenfield, MA
  • NPI 1508867391
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Reference Laboratories

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation
• Baystate Noble Hospital Corporation

  • General Acute Care Hospital
  • Westfield, MA
  • NPI 1700816048
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation
• The Mercy Hospital Inc

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316
  Care Compare affiliation
• The Mercy Hospital Inc

  dba Mercy Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Springfield, MA
  • NPI 1750360798
  Care Compare affiliation

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1689036410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179",
            "telephone_number": "413-272-4427",
            "fax_number": "413-735-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Hazard Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060825424",
            "country_code": "US",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "81077",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "287489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Thomas Kilcoyne Jr., OT/L
• PJ Kilfeather
• Justine Gene Kilian
• Jennifer T Killips, NP
• Allison Kilty
• Ji Won Kim
• Ji Yoon Kim, PHARMD
• Paul Kim, MD
• Tommy Kim, MD
• Young Hee Kim, MS, RD, CNSD

• Urology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.