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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Charissa Kim Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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
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 enrollment system.
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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 9, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1427671387) · Data from the CMS NPPES public registry.