DR. TESIA G KIM MD, MSED
NPI 1629636113
Obstetrics & Gynecology - Gynecology in Boston, MA

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Aug 23, 2023, May 30, 2019 (3 updates tracked since 2019).

About Dr. Tesia G Kim Md, Msed NPPES

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

DR. TESIA G KIM MD, MSED (NPI 1629636113) is an individual gynecology provider in Boston, Massachusetts, licensed in Massachusetts (1013664) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1629636113
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. TESIA G KIMCredential: MD, MSED
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2696
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1629636113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in MA · 1013664
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 1013664 (MA)
55 FRUIT ST, Boston, MA 02114

Other Names 1

Former Name (1)Dr. Tesia G Koi Md, Msed

Secondary Practice Locations 5

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500
Location 22014 Washington StNewton, MA 02462-1607 · Phone (617) 243-6000
Location 352 Second AveWaltham, MA 02451-1127 · Phone (781) 487-6800
Location 4102 Endicott StDanvers, MA 01923-3623 · Phone (978) 882-6100
Location 581 Highland AveSalem, MA 01970-2714 · Phone (978) 741-1200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tesia G Kim Md, Msed is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749642858
PECOS Enrollment IDI20230821003232
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.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Tesia Kim's NPI number?

The NPI number for Tesia Kim is 1629636113. It was assigned to this individual provider in the NPPES registry on May 30, 2019. The provider is also known as Dr. Tesia G Koi MD, Msed.

Where is Tesia Kim located?

Tesia Kim practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (781) 487-3860.

What is Tesia Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Tesia Kim enrolled in Medicare?

Yes. Tesia Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tesia Kim affiliated with any hospitals?

According to CMS data, Tesia Kim is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Tesia Kim was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.