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

Q: 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.

Q: What is Ann Kim's specialty?

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

Q: 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 44 days 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.

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: August 02, 2026.

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

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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 and maintains 2 additional practice locations.

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

Phone(207) 661-0200

Fax(207) 661-0299

Sole ProprietorNo

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Soo 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.

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.

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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.

PAMELA EGAN M.D.

Internal Medicine (Hematology & Oncology)