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MOON SOO KIM MD
NPI 1104552124
Internal Medicine in Framingham, MA

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment
115 LINCOLN ST, FRAMINGHAM, MA 01702(508) 383-1000 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Aug 1, 2022 (2 updates tracked since 2022).

About Moon Soo Kim Md NPPES

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

MOON SOO KIM MD (NPI 1104552124) is an individual internal medicine provider in Framingham, Massachusetts, licensed in Massachusetts (293972) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Metrowest Medical Center, and maintains a secondary practice location in Elmwood Park.

NPPES Registry Identity

NPI1104552124
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOON SOO KIMCredential: MD
Location Address115 LINCOLN STFramingham, MA 01702-6358
Mailing Address115 Lincoln StFramingham, MA 01702-6358 · (508) 383-1000
Phone(508) 383-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1104552124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 293972✔ Licensed in NJ · 25MA12768900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 LINCOLN ST, Framingham, MA 01702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Broadway Ste 201Elmwood Park, NJ 07407-1842 · Phone (973) 684-8138

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Moon Soo 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 ID9133695059
PECOS Enrollment IDI20260417002843
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 Moon Soo Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of Englewood, PC
163 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136

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

Hospital Affiliations CMS Care Compare

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

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01702 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

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.

JORGE ALEJANDRO ALZATE CRNA
Nurse Anesthetist, Certified Registered
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
JAVIER CONTRERAS YAMETTI MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
AMY ADDO
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
SARA BOVE
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
ERIC EDUARDO FABARA MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1555
REBECA MARTINEZ GONZALEZ MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
REUBEN NEJAT JACOBSON
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
LUNG HEALTH CENTER OF METROWEST LLC
Internal Medicine (Pulmonary Disease)
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1525

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 Moon Soo Kim's NPI number?

The NPI number for Moon Soo Kim is 1104552124. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Moon Soo Kim located?

Moon Soo Kim practices at 115 Lincoln St, Framingham, MA 01702. The listed phone number is (508) 383-1000.

What is Moon Soo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Moon Soo Kim enrolled in Medicare?

Yes. Moon Soo 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.

Which organization bills Medicare for Moon Soo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moon Soo Kim reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). 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 Moon Soo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moon Soo Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Moon Soo 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 Moon Soo Kim affiliated with any hospitals?

According to CMS data, Moon Soo Kim is affiliated with Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Moon Soo Kim was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.