FORM HEALTH ASSOCIATES MA, P.C.
NPI 1295554137
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

NPI Status: Active since October 08, 2024

Contact Information

109 STATE ST.
5TH FL
BOSTON, MA
ZIP 02109
Phone: (617) 505-1520
Fax: (617) 928-8401

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About FORM HEALTH ASSOCIATES MA, P.C.

This page provides the complete NPI Profile along with additional information for Form Health Associates Ma, P.c., an internist established in Boston, Massachusetts operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1295554137 assigned on October 2024. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated March 2026. Form Health Associates Ma, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nam Ho Kim (President)

NPI
1295554137
Provider Name
FORM HEALTH ASSOCIATES MA, P.C.
Entity Type
Organization
Location Address
109 STATE ST. 5TH FL BOSTON, MA 02109
Location Phone
(617) 505-1520
Location Fax
(617) 928-8401
Mailing Address
109 STATE ST. 5TH FL BOSTON, MA 02109
Mailing Phone
(617) 505-1520
Mailing Fax
(617) 928-8401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2024
Last Update Date
03-18-2026
Code Navigator

An internist like Form Health Associates Ma, P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NAM HO KIM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(617) 505-1520

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295554137, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 0 + 5 + 8 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1295554137.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine (Endocrinology, Diabetes & Metabolism)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Adult Health)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine (Obesity Medicine)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine
109 STATE ST., 5TH FL
BOSTON, MA 02109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295554137, enumerated as an "organization" on October 08, 2024.

The provider is located at 109 STATE ST. 5TH FL BOSTON, MA 02109 and the phone number is (617) 505-1520.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.