DR. KYUNG RAE KIM M.D.
NPI 1609023282
Radiology - Vascular & Interventional Radiology in Boston, MA

Active since August 26, 2008PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Jul 26, 2023 (2 updates tracked since 2023).

About Dr. Kyung Rae Kim M.d. NPPES

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

DR. KYUNG RAE KIM M.D. (NPI 1609023282) is an individual vascular & interventional radiology provider in Boston, Massachusetts, licensed in Massachusetts (1015353) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1609023282
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. KYUNG RAE KIMCredential: M.D.
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 26, 2008
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1609023282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in MA · 1015353
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 1015353 (MA), 2009-00713 (NC)
300 LONGWOOD AVE, Boston, MA 02115

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)

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

PECOS PAC ID3476603390
PECOS Enrollment IDI20230808002234
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 Kyung Rae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Kyung Rae Kim's NPI number?

The NPI number for Kyung Rae Kim is 1609023282. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Kyung Rae Kim located?

Kyung Rae Kim practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Kyung Rae Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kyung Rae Kim enrolled in Medicare?

Yes. Kyung Rae Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyung Rae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyung Rae Kim reassigns Medicare benefits to Children's Hospital Radiology Foundation, Inc. (Boston, MA). 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 Kyung Rae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyung Rae Kim accept?

Health plans from Taro Health list Kyung Rae 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.

Is Kyung Rae Kim affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Kyung Rae Kim was last updated on September 6, 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.