ANN SOO KIM MD
NPI 1457970436
Internal Medicine - Hematology & Oncology in South Portland, ME

Active since April 10, 2020PECOS Enrolled
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106(207) 661-0200(207) 661-0299 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Jun 15, 2020, Apr 13, 2020 and 1 more (4 updates tracked since 2020).

About Ann Soo Kim Md NPPES

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

ANN SOO KIM MD (NPI 1457970436) is an individual hematology & oncology provider in South Portland, Maine, licensed in Maine (MD30503) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2020).

NPPES Registry Identity

NPI1457970436
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameANN SOO KIMCredential: MD
Location Address265 WESTERN AVE STE 2South Portland, ME 04106-2458
Mailing Address265 Western Ave Ste 2South Portland, ME 04106-2458 · (207) 661-0200 · Fax (207) 661-0299
Fax(207) 661-0299
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateJune 22, 20264 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1457970436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in ME · MD30503
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD30503 (ME)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 1015087 (MA), MD30503 (ME), 39508 (NH)
265 WESTERN AVE STE 2, South Portland, ME 04106

Secondary Practice Locations 2

Location 1100 Campus Dr Unit 121Scarborough, ME 04074-7172 · Phone (207) 396-7683 · Fax (207) 396-7684
Location 2330 Brookline AveBoston, MA 02215-0010 · Phone (617) 667-2131

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Soo Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163852922
PECOS Enrollment IDI20260701002283
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.

Medicare Billing Reassignment

Medicare enrollment records show Ann Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gynecology
100 BRICKHILL AVE
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Physician Assistant
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Medical Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106

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 Ann Kim's NPI number?

The NPI number for Ann Kim is 1457970436. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Ann Kim located?

Ann Kim practices at 265 Western Ave Ste 2, South Portland, ME 04106. The listed phone number is (207) 661-0200.

What is Ann Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ann Kim enrolled in Medicare?

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

Which organization bills Medicare for Ann Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Kim reassigns Medicare benefits to Mainehealth (South Portland, ME). 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 Ann Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Kim accept?

Health plans from Anthem Blue Cross and Blue Shield list Ann Kim 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 Ann Kim was last updated on June 22, 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.