Active NPI
Alyssa Kim, MD
- Ophthalmology Physician
- Mesa, AZ
National Provider Identifier
1689648875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 31119
- Practice address
- 6262 E Broadway Rd
Suite 106
Mesa, AZ 85206-6101 - Phone
- (480) 898-3937
- Fax
- (480) 924-3945
- NPI assigned
- Feb 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 31119 | AZ | Primary |
Addresses
Primary practice location
6262 E Broadway Rd
Suite 106
Mesa, AZ 85206-6101
Mailing address
6262 E Broadway Rd
Suite 106
Mesa, AZ 85206-6101
Phone (480) 898-3937
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Seeing Hand Association, Inc. | Past | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Wheeling, WV
- NPI 1407943970
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689648875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 E BROADWAY RD",
"address_2": "SUITE 106",
"city": "MESA",
"state": "AZ",
"postal_code": "852066101",
"telephone_number": "480-898-3937",
"fax_number": "480-924-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 E BROADWAY RD",
"address_2": "SUITE 106",
"city": "MESA",
"state": "AZ",
"postal_code": "852066101",
"telephone_number": "480-898-3937",
"fax_number": "480-924-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALYSSA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "31119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.