1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Internal Medicine
  6. NPI Profile

GLEN M KIM M.D.
NPI 1619983053
Internal Medicine in Boston, MA

Active since July 31, 2006PECOS Enrolled
15 FRANCIS STREET, PBB-B-428, BOSTON, MA 02115(617) 278-0055 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen M Kim M.d. NPPES

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

GLEN M KIM M.D. (NPI 1619983053) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (210722) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619983053
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGLEN M KIMCredential: M.D.
Location Address15 FRANCIS STREET, PBB-B-428Boston, MA 02115
Mailing Address15 Francis Street, Pbb-b-428Boston, MA 02115 · (617) 278-0055
Phone(617) 278-0055
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 12, 2014
✔ NPI 1619983053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 210722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 FRANCIS STREET, Boston, MA 02115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen M Kim M.d. 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 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 7

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

MARY LOUISE PISCULLI MD
Internal Medicine (Infectious Disease)
15 FRANCIS STREET, BRIGHAM & WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 732-8881
FIZZA MANZOOR
Student in an Organized Health Care Education/Training Program
15 FRANCIS STREET, PBB-A4
BOSTON, MA 02115
Suffolk County (617) 732-8881
TITILOPE O OLANIPEKUN M.D
Internal Medicine (Pulmonary Disease)
15 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (832) 951-0822
DR. ANUJ K DALAL MD
Internal Medicine
15 FRANCIS STREET, BWF HOSPITALIST SERVICE, PBB-B4-428
BOSTON, MA 02115
Suffolk County (617) 278-0055
MRS. ALICIA PETICOLAS KELLEY PA-C
Physician Assistant (Medical)
15 FRANCIS STREET, PBB-B4
BOSTON, MA 02115
Suffolk County (617) 732-8003
DR. MICHELLE ELIZABETH MATZKO MD
Student in an Organized Health Care Education/Training Program
15 FRANCIS STREET, PBB-A4
BOSTON, MA 02115
Suffolk County (617) 732-8881
MR. EVAN MATTHEW HALL PA-C
Physician Assistant (Surgical)
15 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-6824

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 Glen Kim's NPI number?

The NPI number for Glen Kim is 1619983053. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Glen Kim located?

Glen Kim practices at 15 Francis Street Pbb-B-428, Boston, MA 02115. The listed phone number is (617) 278-0055.

What is Glen Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glen Kim enrolled in Medicare?

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

What insurance does Glen Kim accept?

Health plans from Molina Healthcare list Glen 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 Glen Kim was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.