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MATTHEW KIM MD
NPI 1407606015
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 26, 2024PECOS Enrolled
725 ALBANY ST STE 4B, BOSTON, MA 02118(617) 638-5633 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Kim Md NPPES

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

MATTHEW KIM MD (NPI 1407606015) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407606015
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW KIMCredential: MD
Location Address725 ALBANY ST STE 4BBoston, MA 02118-3549
Mailing Address725 Albany St Ste 4bBoston, MA 02118-3549 · (617) 638-5633
Phone(617) 638-5633
Sole ProprietorYes
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1407606015 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.
725 ALBANY ST STE 4B, Boston, MA 02118
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew 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 13

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

RAIELLE ANDRA NOVICK
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
AMANDA CALLUM PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
NATHAN PAUL OLSZEWSKI MD
Orthopaedic Surgery (Orthopaedic Trauma)
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MAX JAE ZEIDENBERG PA-C
Physician Assistant (Surgical)
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
CAITLIN GRIFFIN DALEY PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MACKENZIE TATAR PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. DONALD PAUL WILLIER III MD
Orthopaedic Surgery
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MARY ANNE L PETERSON PA-C
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633

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 Matthew Kim's NPI number?

The NPI number for Matthew Kim is 1407606015. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Matthew Kim located?

Matthew Kim practices at 725 Albany St Ste 4B, Boston, MA 02118. The listed phone number is (617) 638-5633.

What is Matthew 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 Matthew Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Kim was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.