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SUSAN KIM MD
NPI 1972496503
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since June 02, 2025PECOS Enrolled
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Kim Md NPPES

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

SUSAN KIM MD (NPI 1972496503) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (LP06704) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972496503
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSAN KIMCredential: MD
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6200
Phone(401) 455-6200
Sole ProprietorNo
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1972496503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · LP06704
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
345 BLACKSTONE BLVD, Providence, RI 02906
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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)

Susan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

KEVIN E. BAILL MD & ASSOCIATES, LLC
Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (917) 447-2138
SHARATH PONNAPPA PUTTICHANDA
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6346
MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 225-2044
BRITTANY CATHERINE DAWSON FNP-BC
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Providence County (401) 455-6403
CYNTHIA CHEN YANG MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6373
DR. MICAH BENJAMIN DUGGINS-WARF MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (716) 803-9249
KATHARINE ANNE PHILLIPS MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200
LISA BRAFF SHEA MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1972496503. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Susan Kim located?

Susan Kim practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6200.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Susan Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Kim was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.