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SO DAM KIM M.D.
NPI 1053677260
Internal Medicine - Geriatric Medicine in Brookline, MA

Active since April 02, 2012PECOS Enrolled
281 TAPPAN ST APT 3, BROOKLINE, MA 02445(000) 000-0000 Get Directions Write a Review

NPPES record last updated: January 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About So Dam Kim M.d. NPPES

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

SO DAM KIM M.D. (NPI 1053677260) is an individual geriatric medicine provider in Brookline, Massachusetts, licensed in Massachusetts (283220) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053677260
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameSO DAM KIMCredential: M.D.
Location Address281 TAPPAN ST APT 3Brookline, MA 02445-5317
Mailing Address281 Tappan St Apt 3Brookline, MA 02445-5317
Phone(000) 000-0000
Sole ProprietorYes
Enumeration DateApril 2, 2012
Last NPPES UpdateJanuary 21, 2024
NPPES CertifiedJune 8, 2023
✔ NPI 1053677260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MA · 283220
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
281 TAPPAN ST APT 3, Brookline, MA 02445
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

So Dam Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show So Dam Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brigham & Womens Physicians Organization Inc
1.5 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 So Dam Kim's NPI number?

The NPI number for So Dam Kim is 1053677260. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is So Dam Kim located?

So Dam Kim practices at 281 Tappan St Apt 3, Brookline, MA 02445. The listed phone number is (000) 000-0000.

What is So Dam Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is So Dam Kim enrolled in Medicare?

Yes. So Dam Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for So Dam Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Dam Kim reassigns Medicare benefits to Brigham & Womens Physicians Organization Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for So Dam Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for So Dam Kim was last updated on January 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.