ALLIS KIM M.D.
NPI 1053400879
Orthopaedic Surgery - Sports Medicine in Marlborough, MA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
65 FREMONT ST, MARLBOROUGH, MA 01752(508) 485-3665(508) 485-0899 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allis Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIS KIM M.D. (NPI 1053400879) is an individual sports medicine provider in Marlborough, Massachusetts, licensed in Massachusetts (157401) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053400879
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameALLIS KIMCredential: M.D.
Location Address65 FREMONT STMarlborough, MA 01752-1271
Mailing Address65 Fremont StMarlborough, MA 01752-1271 · (508) 485-3665 · Fax (508) 485-0899
Fax(508) 485-0899
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 10, 2012
NPI 1053400879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in MA · 157401
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 157401 (MA)
65 FREMONT ST, Marlborough, MA 01752

Other Identifiers 8

Other10100115NY · Cdphp
Other658G61NY · Empire Bc
Other7446715NY · Aetna
Other790107NY · Mvp
Other000409533001NY · Bs Neny
Medicare ID-Type UnspecifiedRA6783
Medicare UPING78007
Medicaid02670579NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Allis Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860436326
PECOS Enrollment IDI20071106000399
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
109 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services58 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
45 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
40 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier25 claims25 services$118.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
65 FREMONT ST, SUITE 2A
MARLBOROUGH, MA 01752
Internal Medicine
65 FREMONT ST
MARLBOROUGH, MA 01752
Specialist
65 FREMONT ST
MARLBORO, MA 01752
Obstetrics & Gynecology (Gynecology)
65 FREMONT ST, SUITE NUMBER 5
MARLBOROUGH, MA 01752
Clinic/Center (Primary Care)
65 FREMONT ST
MARLBOROUGH, MA 01752
Specialist
65 FREMONT ST, SUITE 5
MARLBOROUGH, MA 01752
Internal Medicine (Medical Oncology)
65 FREMONT ST
MARLBOROUGH, MA 01752
Orthopaedic Surgery
65 FREMONT ST
MARLBORO, MA 01752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allis Kim's NPI number?

The NPI number for Allis Kim is 1053400879. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Allis Kim located?

Allis Kim practices at 65 Fremont St, Marlborough, MA 01752. The listed phone number is (508) 485-3665.

What is Allis Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Allis Kim enrolled in Medicare?

Yes. Allis Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Allis Kim accept?

Health plans from Anthem Blue Cross and Blue Shield list Allis Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Allis Kim affiliated with any hospitals?

According to CMS data, Allis Kim is affiliated with Beth Israel Deaconess Hospital Plymouth, Lowell General Hospital and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Allis Kim was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.