Active NPI
Alexander John Kim, MD
- Military Health Care Provider
- Groton, CT
National Provider Identifier
1962206698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 1781493
- Practice address
- PO Box 159
Groton, CT 06349-5159 - Phone
- (860) 694-2876
- NPI assigned
- Apr 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 1781493 | VA | Primary |
Addresses
Primary practice location
PO Box 159
Groton, CT 06349-5159
Mailing address
PO Box 159
Groton, CT 06349-5159
Phone (860) 694-2876
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1962206698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "GROTON",
"state": "CT",
"postal_code": "063495159",
"telephone_number": "860-694-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "GROTON",
"state": "CT",
"postal_code": "063495159",
"telephone_number": "860-694-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALEXANDER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-02",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "1781493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.