1. Home
  2. Directory
  3. Massachusetts
  4. Needham
  5. Oral Maxillofacial Surgery
  6. NPI Profile

SOMI KIM DMD, MD
NPI 1083926950
Oral & Maxillofacial Surgery in Needham, MA

Active since July 08, 2010Opted out of Medicare · through Jul 15, 2028
117 CHESTNUT ST, NEEDHAM, MA 02492(781) 671-0001(781) 995-0001 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Somi Kim Dmd, Md NPPES

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

SOMI KIM DMD, MD (NPI 1083926950) is an individual oral & maxillofacial surgery provider in Needham, Massachusetts, licensed in Massachusetts (DN1857089) and active in the NPI registry since July 2010. She has opted out of Medicare through July 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083926950
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameSOMI KIMCredential: DMD, MD
Location Address117 CHESTNUT STNeedham, MA 02492-2515
Mailing Address2 Juniper PlLexington, MA 02420-3534 · (781) 671-0001 · Fax (781) 995-0001
Phone(781) 671-0001
Fax(781) 995-0001
Sole ProprietorNo
Enumeration DateJuly 8, 2010
Last NPPES UpdateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1083926950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MA · DN1857089
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
117 CHESTNUT ST, Needham, MA 02492
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Somi Kim Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2024 through July 15, 2028.

Opt-Out Effective DateJuly 15, 2024
Opt-Out In Effect ThroughJuly 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

SOMI KIM DMD MD PLLC
Dentist (Oral and Maxillofacial Surgery)
117 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (413) 687-1209
DR. THOMAS FRANCIS MCGILLICUDDY JR. DMD
Dentist (Periodontics)
117 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 444-3853
DR. MEGAN MCGILLICUDDY HUYETT DMD
Dentist
117 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 444-3853

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 Somi Kim's NPI number?

The NPI number for Somi Kim is 1083926950. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Somi Kim located?

Somi Kim practices at 117 Chestnut St, Needham, MA 02492. The listed phone number is (781) 671-0001.

What is Somi Kim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Somi Kim enrolled in Medicare?

No. Somi Kim has opted out of Medicare through July 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Somi Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Somi 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.

When was this NPI record last updated?

The NPPES record for Somi Kim was last updated on June 19, 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.