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FORM HEALTH ASSOCIATES MA, P.C.
NPI 1386260594
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Active since June 23, 2020
109 STATE STREET, 5TH FL, BOSTON, MA 02109(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Feb 24, 2022, Jun 23, 2020 (3 updates tracked since 2020).

About Form Health Associates Ma, P.c. NPPES

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

FORM HEALTH ASSOCIATES MA, P.C. (NPI 1386260594) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Boston, Massachusetts and active in the NPI registry since June 2020. The organization lists Nam H Kim, President, as its authorized official.

NPPES Registry Identity

NPI1386260594
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameFORM HEALTH ASSOCIATES MA, P.C.
Location Address109 STATE STREET, 5TH FLBoston, MA 02109-2906
Mailing Address109 State St, 5th FlBoston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Phone(617) 505-1520
Fax(617) 928-8401
Organization SubpartNo
Authorized OfficialNam H KimPresident · (617) 505-1520
Enumeration DateJune 23, 2020
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1386260594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
109 STATE STREET, Boston, MA 02109
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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, Blue Cross and Blue Shield of Texas.Insurance ›

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 Form Health Associates Ma, P.C.'s NPI number?

The NPI number for Form Health Associates Ma, P.C. is 1386260594. It was assigned to this organization in the NPPES registry on June 23, 2020.

Where is Form Health Associates Ma, P.C. located?

Form Health Associates Ma, P.C. is located at 109 State Street 5th Fl, Boston, MA 02109. The listed phone number is (617) 505-1520.

What is Form Health Associates Ma, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

What insurance does Form Health Associates Ma, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list Form Health Associates Ma, P.C. 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 Form Health Associates Ma, P.C. was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.