ANTHONY KIM M. D.
NPI 1205890381
Urology in Middlebury, CT

Q: What is Anthony Kim's NPI number?

The NPI number for Anthony Kim is 1205890381. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Anthony Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Kim was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 06762(203) 757-8361(203) 754-9126 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Anthony Kim M. D. NPPES

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

ANTHONY KIM M. D. (NPI 1205890381) is an individual urology provider in Middlebury, Connecticut, licensed in Connecticut (041997) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2004).

NPPES Registry Identity

NPI1205890381

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameANTHONY KIMCredential: M. D.

Location Address1579 STRAITS TPKE, SUITE 2AMiddlebury, CT 06762-1835

Mailing Address1579 Straits Tpke, Suite 2aMiddlebury, CT 06762-1835 · (203) 757-8361 · Fax (203) 754-9126

Phone(203) 757-8361

Fax(203) 754-9126

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2004

Enumeration DateApril 14, 2006

Last NPPES UpdateSeptember 10, 2008

✔ NPI 1205890381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CT · 041997

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1579 STRAITS TPKE, Middlebury, CT 06762

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Other Identifiers 2

Medicare UPINI04145CT

Medicare ID-Type Unspecified340000364CT

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

Anthony 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 ID7810978277

PECOS Enrollment IDI20040601000467

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

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

Bristol Hospital Multi Specialty Group, Inc

11 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

Trinity Health Of New England Provider Network Organization Inc

26 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

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 16

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

1,015 services613 patients

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.

811 services468 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

648 services409 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

493 services363 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.

383 services324 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

107 services15 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

99 services75 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

81 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

41 services20 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

33 services16 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

21 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services15 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

14 services14 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

12 services12 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06762 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%612 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

69%596 patients3/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%157 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers26 claims7,368 services$6.14 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 20

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

SAGAR MOHAN PHATAK M. D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

ROBERT A FELDMAN M.D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

CAROLYN BROWN NP

Nurse Practitioner (Primary Care)

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-2564

MS. DEANNA L WOLFF PA-C

Physician Assistant

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-1272

MUNEERA PANJWANI APRN

Nurse Practitioner (Gerontology)

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 598-7246

YORK P MOY M.D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

ROBERT S WETMORE MD PC

Orthopaedic Surgery

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-1760

ORTHOPAEDICS NEW ENGLAND, PC

Orthopaedic Surgery

1579 STRAITS TPKE, SUITE E
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 598-0700

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 Anthony Kim's NPI number?

The NPI number for Anthony Kim is 1205890381. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Anthony Kim located?

Anthony Kim practices at 1579 Straits Tpke Suite 2A, Middlebury, CT 06762. The listed phone number is (203) 757-8361.

What is Anthony Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Anthony Kim enrolled in Medicare?

Yes. Anthony 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 Anthony Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Kim reassigns Medicare benefits to 2 organizations: Bristol Hospital Multi Specialty Group, Inc (Bristol, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). 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 Anthony Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Kim accept?

Health plans from Anthem Blue Cross and Blue Shield list Anthony 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 Anthony Kim was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.