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LORI S KIM MD
NPI 1629728902
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 28, 2022PECOS Enrolled
609 ALBANY ST, BOSTON, MA 02118(617) 358-9700 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori S Kim Md NPPES

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

LORI S KIM MD (NPI 1629728902) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629728902
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLORI S KIMCredential: MD
Location Address609 ALBANY STBoston, MA 02118-2515
Mailing Address609 Albany StBoston, MA 02118-2515 · (617) 358-9700
Phone(617) 358-9700
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1629728902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
609 ALBANY ST, Boston, MA 02118
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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)

Lori S 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.

Other Providers at the Same Location NPPES 5

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

DR. BROOKE TATIANA KENNAMER DO
Dermatology
609 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. AUBREY GREER WAGENSELLER M.D.
Dermatology
609 ALBANY ST, J-205A, DEPARTMENT OF DERMATOLOGY,
BOSTON, MA 02118
Suffolk County (617) 638-5500
MARTIN AZZAM MD
Dermatology
609 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-9700
AYMAN GRADA MD
Dermatology
609 ALBANY ST, B600
BOSTON, MA 02118
Suffolk County (317) 525-5247
CHRISTINA GISELLE LOPEZ MD
Student in an Organized Health Care Education/Training Program
609 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 638-7420

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 Lori Kim's NPI number?

The NPI number for Lori Kim is 1629728902. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Lori Kim located?

Lori Kim practices at 609 Albany St, Boston, MA 02118. The listed phone number is (617) 358-9700.

What is Lori Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lori Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lori Kim was last updated on June 13, 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.