Individual provider Active NPI

Sei-Gyung Kim Sze, M.D.

  • Pediatric Hematology & Oncology Physician
  • Scarborough, ME
National Provider Identifier
1831416452
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD22049 Issued in ME
Practice address
100 Campus Dr Unit 107
Scarborough, ME 04074
Phone
(207) 396-7565
Fax
(207) 396-7577
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD22049 ME
Pediatric Hematology & Oncology Physician 2080P0207X MD22049 ME Primary

Addresses

Primary practice location

100 Campus Dr Unit 107
Scarborough, ME 04074

Mailing address

100 Campus Dr Unit 107
Scarborough, ME 04074-8737
Phone (207) 396-7565

Other names 1

  • Sei-Gyung Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20180607002795 ME Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 1759523699 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Pediatric Hematology-Oncology CurrentSince Jul 1, 2018 Accepting new patients
Maine Medical Partners CurrentSince Jul 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 1, 2018 Accepting new patients
Mainehealth CurrentSince Jul 1, 2018 Accepting new patients
Mainehealth Pediatrics Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

100 Campus Dr
Unit 107A
Scarborough, ME 04074

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: ssze228584@direct.mmc.mainehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1831416452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR UNIT 107",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748737",
            "telephone_number": "207-396-7565",
            "fax_number": "207-396-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR UNIT 107",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-7565",
            "fax_number": "207-396-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZE",
        "first_name": "SEI-GYUNG",
        "middle_name": "KIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD22049",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "ME",
            "license": "MD22049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEI-GYUNG",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.