DR. NOORI KIM (M.D.) – Dermatology Physician, NPI 1093036758
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. NOORI KIM (M.D.)
55 Lake Ave N
Internal Medicine Residency
Worcester, MA 016550002
Phone: (508) 334-1000
Type: Location
601 N. CAROLINE ST. 8TH FLOOR DERMATOLOGY
JOHNS HOPKINS OUTPATIENT CENTER
BALTIMORE, MD 212870006
Phone: (410) 955-5933
Type: Mailing
601 N CAROLINE ST FL 8
BALTIMORE, MD 212870006
Phone: (410) 955-5933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 170 Open Payments records for all available years, with a total value of $3,797.
Total Amount is formed as General ($3,797) + Research ($0) + Ownership ($0) = $3,797.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($597).
Total Amount
$3,797
General + Research + Ownership
Payments
170
Total payment records
General Amount
$3,797
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $597 |
| REVANCE THERAPEUTICS, INC. | $449 |
| Regeneron Healthcare Solutions, Inc. | $303 |
| ABBVIE INC. | $249 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $244 |
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: 2024-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170830000097 | I | Dermatology | MD | TBD |
| I20240105002066 | I | Dermatology | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Pathology, Dermatology | AL | |
| D E R M A T O L O G Y | NC | |
| Micrographic Dermatologic Surgery (Mds) | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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