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MARISA ESTHER LEE KIM M.D.
NPI 1144670639
Internal Medicine in Bristol, CT

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
61 BRADLEY ST, BRISTOL, CT 06010(860) 584-8021 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2019, Jun 15, 2016 (2 updates tracked since 2016).

About Marisa Esther Lee Kim M.d. NPPES

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

MARISA ESTHER LEE KIM M.D. (NPI 1144670639) is an individual internal medicine provider in Bristol, Connecticut, licensed in Connecticut (61896) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144670639
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARISA ESTHER LEE KIMCredential: M.D.
Location Address61 BRADLEY STBristol, CT 06010-5103
Mailing Address61 Bradley StBristol, CT 06010-5103 · (860) 584-8021
Phone(860) 584-8021
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 15, 2016
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
✔ NPI 1144670639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 61896
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.
61 BRADLEY ST, Bristol, CT 06010
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Secondary Practice Location 1

Location 14422 3rd Ave Bldg 3Bronx, NY 10457-2545 · Phone (718) 960-9000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Marisa Esther Lee Kim M.d. 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 ID1254665797
PECOS Enrollment IDI20190703000044
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 Marisa Lee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bristol Hospital Multi Specialty Group, Inc
0.8 mi
General Practice
15 RIVERSIDE AVE
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 222 clinicians in this Medicare group
NPI 1649265679 (860) 585-3906

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

Areas of Expertise CMS Part B claims 7

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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
270 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
94 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.47 avg. paid by Medicare
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
2 suppliers17 claims17 services$62.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

LOUIS HURWITZ
Counselor (Professional)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 406-2437
LOU HURWITZ COUNSELING, LLC
Counselor (Professional)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 406-2437
MARY ANN KOPREK
Nurse Practitioner (Family)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-8021
NICOLE MICHAUD
Counselor (Professional)
61 BRADLEY ST, SUITE 1
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-1126
CORINNE B FEROLA LCSW
Social Worker (Clinical)
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 841-6238
GARY MILLER MD LLC
Internal Medicine
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-6898
JEANINE SULLIVAN LCSW
Counselor (Addiction (Substance Use Disorder))
61 BRADLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 677-5967
MRS. MARY KINNEY MARSH M.S., L.M.F.T.
Counselor (Mental Health)
61 BRADLEY ST, 2ND FLOOR, SUITE 4
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-1087

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 Marisa Lee Kim's NPI number?

The NPI number for Marisa Lee Kim is 1144670639. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Marisa Lee Kim located?

Marisa Lee Kim practices at 61 Bradley St, Bristol, CT 06010. The listed phone number is (860) 584-8021.

What is Marisa Lee Kim's specialty?

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

Is Marisa Lee Kim enrolled in Medicare?

Yes. Marisa Lee 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 Marisa Lee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Lee Kim reassigns Medicare benefits to Bristol Hospital Multi Specialty Group, Inc (Bristol, CT). 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 Marisa Lee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Lee Kim accept?

Health plans from Anthem Blue Cross and Blue Shield list Marisa Lee 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 Marisa Lee Kim was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.