ANTHONY KIM (M. D.) – Urology Physician, NPI 1205890381

ANTHONY KIM (M. D.) is a healthcare provider. based in Middlebury, Connecticut. specializing in UROLOGY. They hold the professional credentials M. D.. They hold a License No. 041997 (CT). The NPI Number for ANTHONY KIM (M. D.) is 1205890381

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY KIM (M. D.)
NPI
1205890381
Phone
(203) 757-8361
Address
1579 STRAITS TPKE
Enumeration Date
14 April 2006
Last Update Date
10 September 2008

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2037096000
Graduation Year
2004 (22 years ago)
PAC ID
7810978277
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20040601000467
Address ID
CT067061253WA56XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

171 UROLOGY in CT

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Provider Addresses for ANTHONY KIM (M. D.)

  • 1579, Straits Turnpike, Oronoke, Middlebury, New Haven County, Connecticut, 06762, United States

    SUITE 2A

    MIDDLEBURY, CT 067621835

    Phone: (203) 757-8361

    Fax: (203) 754-9126

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $5,331.

Total Amount is formed as General ($5,331) + Research ($0) + Ownership ($0) = $5,331.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($610).

Total Amount

$5,331

General + Research + Ownership

Payments

184

Total payment records

General Amount

$5,331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040601000467IUrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9155Injection, degarelix, 1 mg3,52016$0
81003Automated urinalysis test1,105665$0
99214Established patient office or other outpatient visit, 30-39 minutes806476$0
51798Ultrasound measurement of bladder capacity after voiding722480$0
76775Limited ultrasound scan behind abdominal cavity440327$0
View full utilization report →

Insurance plans in this area (ZIP 06762)

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Provider's Procedures

ANTHONY KIM (M. D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCT51798Ultrasound measurement of bladder capacity after voiding1106595
UROLOGYCT76872Ultrasound of rectum1816

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

How is ANTHONY KIM (M. D.) identified in CMS data?
CMS-hosted NPPES data lists ANTHONY KIM (M. D.) with NPI 1205890381.
Is ANTHONY KIM (M. D.) still practicing?
ANTHONY KIM (M. D.) is currently listed as active in the public NPI registry.
What healthcare role does ANTHONY KIM (M. D.) hold?
Scheduling teams often label ANTHONY KIM (M. D.) under Urology Physician. Clinical services aligned with this taxonomy classification.
Does ANTHONY KIM (M. D.) list a practice location?
Patients near Middlebury, Connecticut may find ANTHONY KIM (M. D.) in results; validate coverage separately.
Is the information about ANTHONY KIM (M. D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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