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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: August 09, 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
Phone(617) 355-6000
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
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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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Wendy Kim's NPI number?

The NPI number for Wendy Kim is 1578850368. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Wendy Kim located?

Wendy Kim practices at 300 Longwood Ave Department Of Radiology, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Wendy Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Wendy Kim enrolled in Medicare?

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

Is Wendy Kim affiliated with any hospitals?

According to CMS data, Wendy Kim is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Wendy Kim was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.