Michael Kim, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

81882 Issued in MA

Practice address

41 Highland Ave
Winchester, MA 01890-1446

Phone

(781) 729-2000

Fax

(781) 756-7274

NPI assigned

Jul 21, 2006

Last updated

Jun 2, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

General Practice

Education

University of Chicago, Pritzker School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Skin Aesthetic Medical, Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1962809400
  Medicare reassignment NPD Authorized official
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1225083785
  NPD (past)
• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  NPD (past)
• Fairmount Emergency Physician Associates, LLC

  dba Winchester Emergency Medical Associates

  • Emergency Medicine Physician
  • Winchester, MA
  • NPI 1396229712
  NPD (past)
• Massachusetts Em-1 Medical Services

  • Physician Assistant
  • Holyoke, MA
  • NPI 1265620017
  NPD (past)
• Winchester Emergency Medical Associates PC

  dba Winchester Emergency Medical Associates

  • Emergency Medicine Physician
  • Winchester, MA
  • NPI 1831131473
  NPD (past)
• Baltimore Washington Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Glen Burnie, MD
  • NPI 1215983853
  NPD (past)
• Johns Hopkins Emergency Medical

  • Emergency Care Clinic/Center
  • Columbia, MD
  • NPI 1922098466
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1710908140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD",
            "address_2": "STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102904",
            "telephone_number": "781-729-2000",
            "fax_number": "781-756-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901446",
            "telephone_number": "781-729-2000",
            "fax_number": "781-756-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "81882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145671",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nada Kerouz, MD
• Pauline Keshishian, LCSW
• Shadi Ihsan Khalil, MD
• Maureen Kiely
• Nathaniel Ezra Kieval, LMHC, M.S.,ED.
• Christine Village Kimball, CRNA
• Jeanne M King, NP
• Jessica King, PA-C
• Robin E Kirby, M.D.
• Aimee Calista Knorr, MD

• Emergency Medicine Physician in Winchester, MA
• Providers in Winchester, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.