SUSAN KIM MD
NPI 1073010153
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Kim Md NPPES

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

SUSAN KIM MD (NPI 1073010153) is an individual psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (287782) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Boston University School Of Medicine (2018).

NPPES Registry Identity

NPI1073010153
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSAN KIMCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address1090 Amsterdam Ave Fl 16New York, NY 10025-1737
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
NPI 1073010153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 287782
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 11090 Amsterdam Ave Fl 16New York, NY 10025-1737 · Phone (425) 367-3754

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

Susan Kim Md 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 ID5698011732
PECOS Enrollment IDI20230131001910
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Psychologist
55 FRUIT ST, YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Anesthesiology (Critical Care Medicine)
55 FRUIT ST, ANESTHESIA ASSOCIATES GRB 406E
BOSTON, MA 02114
Internal Medicine (Rheumatology)
55 FRUIT ST, RHEUMATOLOGY ASSOCIATES YAW 2100
BOSTON, MA 02114
Neurological Surgery
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, WAC 745K
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, WHITE 525
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073010153, enumerated as an "individual" on April 06, 2018.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 724-7688.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.