JULIE REBECCA LEEGWATER-KIM (MD PHD) – Neurology Physician, NPI 1093761587

JULIE REBECCA LEEGWATER-KIM (MD PHD) is a healthcare provider. based in Burlington, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials MD PHD. They hold a License No. 232575 (NY). The NPI Number for JULIE REBECCA LEEGWATER-KIM (MD PHD) is 1093761587

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JULIE REBECCA LEEGWATER-KIM (MD PHD)
NPI
1093761587
Phone
(781) 744-5100
Address
41 MALL RD
Enumeration Date
26 May 2006
Last Update Date
16 February 2011

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
9638172182
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20060823000084
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,144 NEUROLOGY in MA

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Provider Addresses for JULIE REBECCA LEEGWATER-KIM (MD PHD)

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    BURLINGTON, MA 018050001

    Phone: (781) 744-5100

    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 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Cala Health, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cala Health, Inc.$20
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: 2006-08-23

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
I20060823000084INeurologyMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes271175$0
99214Established patient office or other outpatient visit, 30-39 minutes237173$0
64616Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box6624$0
99205New patient office or other outpatient visit, 60-74 minutes6161$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or4338$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for JULIE REBECCA LEEGWATER-KIM (MD PHD)?
Save NPI 1093761587 if you need a stable reference for JULIE REBECCA LEEGWATER-KIM (MD PHD).
Is JULIE REBECCA LEEGWATER-KIM (MD PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JULIE REBECCA LEEGWATER-KIM (MD PHD) work in?
You can think of JULIE REBECCA LEEGWATER-KIM (MD PHD) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is JULIE REBECCA LEEGWATER-KIM (MD PHD)'s primary listing?
We display Burlington, Massachusetts because that is what the record indicates for JULIE REBECCA LEEGWATER-KIM (MD PHD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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