JULIET KIM
NPI 1124691431
Pediatrics in Boston, MA
About Juliet Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIET KIM (NPI 1124691431) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (1021710) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
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
Juliet Kim 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.
Medicare Billing Reassignments
3Medicare enrollment records show Juliet Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Newton, MA 02462
- Reassigned Medicare billing, Massachusetts enrollment
- 992 clinicians in this Medicare group
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 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Juliet Kim's NPI number?
The NPI number for Juliet Kim is 1124691431. It was assigned to this individual provider in the NPPES registry on July 23, 2021.
Where is Juliet Kim located?
Juliet Kim practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.
What is Juliet Kim's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Juliet Kim enrolled in Medicare?
Yes. Juliet 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 organizations bill Medicare for Juliet Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juliet Kim reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). Each 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 Juliet 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 Juliet Kim was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Juliet Kim · NPI 1124691431
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 23, 2021.
## Identity
- **NPI:** 1124691431 (Entity type: Individual)
- **Enumerated:** July 23, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1021710 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Mass General Brigham Medical Group Suburban Massachusetts Inc (NPI 1538191218, Newton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** April 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124691431) · Data from the CMS NPPES public registry.