1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RYAN LEWIS KIM MD
NPI 1174186530
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 20, 2019PECOS Enrolled
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118(786) 338-5377 Get Directions Write a Review

NPPES record last updated: July 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2020, Apr 20, 2019 (2 updates tracked since 2019).

About Ryan Lewis Kim Md NPPES

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

RYAN LEWIS KIM MD (NPI 1174186530) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174186530
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN LEWIS KIMCredential: MD
Location Address1 BOSTON MEDICAL CTR PLBoston, MA 02118-2908
Mailing Address2 Leighton St Apt 223Cambridge, MA 02141-3003 · (786) 338-5377
Phone(786) 338-5377
Sole ProprietorNo
Enumeration DateApril 20, 2019
Last NPPES UpdateJuly 4, 20202 updates tracked since enumeration
NPPES CertifiedJuly 4, 2020
✔ NPI 1174186530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Lewis Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SOPHIA N. TOWNSEND CRNA
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-6950
MADELYN ROSE CHAMIS
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. NICKKI P DAWES
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
COMFORT ATWEREBOANAH
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
SOFIA PHAM
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
ANEESH T NARANG MD
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481
TEMITAYO OKUBANJO PHARM.D, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DEBORAH A DAVOLIO NP
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481

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 Ryan Kim's NPI number?

The NPI number for Ryan Kim is 1174186530. It was assigned to this individual provider in the NPPES registry on April 20, 2019.

Where is Ryan Kim located?

Ryan Kim practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (786) 338-5377.

What is Ryan Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Kim enrolled in Medicare?

Yes. Ryan Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Kim was last updated on July 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.