Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTINA KIM MD
NPI 1629042247
Urology - Pediatric Urology in Burlington, VT

Active since February 13, 2006PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Aug 31, 2020, Dec 21, 2018 and 2 more (5 updates tracked since 2016).

About Christina Kim Md NPPES

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

CHRISTINA KIM MD (NPI 1629042247) is an individual pediatric urology provider in Burlington, Vermont, licensed in Massachusetts (261879) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629042247
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameCHRISTINA KIMCredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 14, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1629042247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in MA · 261879✔ Licensed in VT · 042.0013201✔ Licensed in CT · 042237✔ Licensed in WI · 70268-20✔ Licensed in NY · 286558
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
111 COLCHESTER AVE, Burlington, VT 05401

Other Identifiers 1

Medicaid001422378CT

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)

Christina 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Christina Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
Pediatric Orthopaedic Surgery
516 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

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.

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401

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 Christina Kim's NPI number?

The NPI number for Christina Kim is 1629042247. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Christina Kim located?

Christina Kim practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Christina Kim's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Christina Kim enrolled in Medicare?

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

Which organizations bill Medicare for Christina Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Kim reassigns Medicare benefits to 3 organizations: University Of Vermont Medical Center Inc (Burlington, VT), The Shriners' Hospital For Children (Springfield, MA) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Christina Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christina Kim accept?

Health plans from Ambetter from NH Healthy Families, AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Christina 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 Christina Kim was last updated on September 14, 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.