WENDY KIM M.D.
NPI 1578850368
Radiology - Pediatric Radiology in Boston, MA

Active since June 30, 2011PECOS Enrolled
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2017, Nov 21, 2016 (2 updates tracked since 2016).

About Wendy Kim M.d. NPPES

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

WENDY KIM M.D. (NPI 1578850368) is an individual pediatric radiology provider in Boston, Massachusetts, licensed in Massachusetts (270532) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578850368
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameWENDY KIMCredential: M.D.
Location Address300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGYBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Department Of RadiologyBoston, MA 02115-5724
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 30, 2011
Last NPPES UpdateJune 9, 20172 updates tracked since enumeration
NPI 1578850368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License Licensed in MA · 270532
Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

300 LONGWOOD AVE, Boston, MA 02115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wendy Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911205133
PECOS Enrollment IDI20170926001311
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Children's Hospital

Childrens · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number223302
Location300 Longwood AvenueBoston, MA 02115 · Suffolk County
Emergency services

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.

Genetic Counselor, MS
300 LONGWOOD AVE, CLS 14074
BOSTON, MA 02115
Genetic Counselor, MS
300 LONGWOOD AVE, DEPARTMENT OF CARDIOLOGY
BOSTON, MA 02115
Pediatrics (Pediatric Critical Care Medicine)
300 LONGWOOD AVE, DIVISION OF CRITICAL CARE MEDICINE
BOSTON, MA 02115
Pediatrics (Pediatric Pulmonology)
300 LONGWOOD AVE, HUNNEWELL 2
BOSTON, MA 02115
Medical Genetics (Clinical Genetics (M.D.))
300 LONGWOOD AVE, CHILDREN'S HOSPITAL
BOSTON, MA 02115
Oral & Maxillofacial Surgery
300 LONGWOOD AVE, HU-158
BOSTON, MA 02115
Medical Genetics (Clinical Biochemical Genetics)
300 LONGWOOD AVE
BOSTON, MA 02115
Pediatrics (Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA 02115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578850368, enumerated as an "individual" on June 30, 2011.

The provider is located at 300 LONGWOOD AVE DEPARTMENT OF RADIOLOGY BOSTON, MA 02115 and the phone number is (617) 355-6000.

Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

Wendy Kim is affiliated with: BOSTON CHILDREN'S HOSPITAL.