Mackenzi Kim

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT217990 Issued in PA

Practice address

218 N 2ND St
Allentown, PA 18102-3508

Phone

(484) 862-3066

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzi Frost Former name

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

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Care Network Home health agency, Worcester, MA, CCN 227098
• Bayada Home Health Care, Inc Home health agency, Wilmington, MA, CCN 227576
• Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkimmd373175@direct.atrius.masshiway.net

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.

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  Medicare reassignment Care Compare group NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Watertown, MA
  • NPI 1043366537
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1740238526
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Foxboro, MA
  • NPI 1013358118
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, MA
  • NPI 1285673194
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Canton, MA
  • NPI 1972896900
  Care Compare affiliation
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation
• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Westwood, MA
  • NPI 1740529668
  Care Compare affiliation
• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation
• Vna Care Network, Inc.

  • Home Health Agency
  • Worcester, MA
  • NPI 1922002286
  Care Compare affiliation

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1700445566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023508",
            "telephone_number": "484-862-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MACKENZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT217990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZI",
            "last_name": "FROST",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hyejin Kim, C.R.N.P.
• Jaechoon Kim, MD
• Jin Kim, MD
• Joon B Kim, MD
• Jungsoo Kim, MD
• Susan Kim, MD
• Wi Jin Kim, MD
• Katelin Kimler, PHARMD
• Deborah N Kimmel, MD
• Pamela Sue Kimmel, OD

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.