DR. CHARISSA KIM MD, PHD
NPI 1427671387
Student in an Organized Health Care Education/Training Program in Boston, MA
About Dr. Charissa Kim Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARISSA KIM MD, PHD (NPI 1427671387) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (287234) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Charissa Kim Md, Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Charissa Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Whittier, CA 90602
- Reassigned Medicare billing, California enrollment
- 84 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beth Israel Deaconess Medical Center
Acute Care Hospitals · Boston, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Charissa Kim's NPI number?
The NPI number for Charissa Kim is 1427671387. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Charissa Kim located?
Charissa Kim practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (818) 357-0383.
What is Charissa 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 Charissa Kim enrolled in Medicare?
Yes. Charissa 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 organization bills Medicare for Charissa Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charissa Kim reassigns Medicare benefits to Lambert Radiology Medical Group, Inc (Whittier, CA). The 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 Charissa Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charissa Kim affiliated with any hospitals?
According to CMS data, Charissa Kim is affiliated with Beth Israel Deaconess Medical Center.
When was this NPI record last updated?
The NPPES record for Charissa Kim was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Charissa Kim, MD, PHD · NPI 1427671387
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1427671387 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 287234 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BROOKLINE AVE, Boston, MA 02215-5491
- **Phone:** (818) 357-0383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lambert Radiology Medical Group, Inc (NPI 1609826684, Whittier, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427671387) · Data from the CMS NPPES public registry.