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ALICE KIM MD
NPI 1154523553
Ophthalmology in Hamden, CT

Active since June 05, 2007PECOS EnrolledAccepts Medicare Assignment
2880 OLD DIXWELL AVE, EYE CENTER OF SOUTHERN CONNECTICUT, HAMDEN, CT 06518(203) 248-6365(203) 281-2742 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alice Kim Md NPPES

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

ALICE KIM MD (NPI 1154523553) is an individual ophthalmology provider in Hamden, Connecticut, licensed in Connecticut (050478) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1154523553
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameALICE KIMCredential: MD
Location Address2880 OLD DIXWELL AVE, EYE CENTER OF SOUTHERN CONNECTICUTHamden, CT 06518-3144
Mailing Address2880 Old Dixwell Ave, Eye Center Of Southern ConnecticutHamden, CT 06518-3144 · (203) 248-6365 · Fax (203) 281-2742
Phone(203) 248-6365
Fax(203) 281-2742
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 5, 2007
Last NPPES UpdateMarch 27, 2012
✔ NPI 1154523553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 050478
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2880 OLD DIXWELL AVE, Hamden, CT 06518
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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

Alice 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 ID3072680719
PECOS Enrollment IDI20191205002119
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 Reassignments

2

Medicare enrollment records show Alice Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
223 mi
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009
NPI 1265971873 (410) 515-5440
Permanente Medical Group Inc
2,556 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 18

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

BRACEDR, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-1022
PETER SHERLINE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-5624
ANDREW P SWAN MD
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365
ANDREW J FEZZA MD
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365
BEVERLY ANN REIDY OD
Optometrist
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365
LAURA M GLASZ OD
Optometrist
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365
NATALIYA POKEZA MD
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365
EYE CENTER OF SOUTHERN CONNECTICUT PC
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-6365

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 Alice Kim's NPI number?

The NPI number for Alice Kim is 1154523553. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Alice Kim located?

Alice Kim practices at 2880 Old Dixwell Ave Eye Center Of Southern Connecticut, Hamden, CT 06518. The listed phone number is (203) 248-6365.

What is Alice Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alice Kim enrolled in Medicare?

Yes. Alice 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 Alice Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Kim reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD) and Permanente Medical Group Inc (Stockton, CA). 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 Alice 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 Alice Kim was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.