DR. HEUNG B KIM (MD) – Surgery Physician, NPI 1144249632

DR. HEUNG B KIM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 204858 (MA). The NPI Number for DR. HEUNG B KIM (MD) is 1144249632

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEUNG B KIM (MD)
NPI
1144249632
Phone
(617) 355-8544
Address
300 LONGWOOD AVE
Enumeration Date
18 July 2006
Last Update Date
8 June 2016

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
6173556000
Graduation Year
1993 (33 years ago)
PAC ID
9537327259
Group Practice PAC ID
7012016488
Professional Enrollment ID
I20120225000116
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for DR. HEUNG B KIM (MD)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    FEGAN 3

    BOSTON, MA 021155724

    Phone: (617) 355-8544

    Fax: (617) 730-0477

    Type: Location

  • 510, North Avenue, Silver Hill, Weston, Middlesex County, Massachusetts, 01773, United States

    WESTON, MA 024931806

    Phone: (781) 647-9861

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-02-25

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
I20120225000116IGeneral SurgeryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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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: 7012016488View full group profile
NameSpecialtyState
General SurgeryMA
-MA
General SurgeryMA
-MA
General SurgeryMD
General SurgeryMA
General Surgery, Pediatric MedicineMA
General Surgery, Critical Care (Intensivists)MA
Nurse PractitionerMA
General SurgeryMA

Reviews

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Frequently asked questions

How is DR. HEUNG B KIM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. HEUNG B KIM (MD) with NPI 1144249632.
Does CMS list DR. HEUNG B KIM (MD) as active?
Yes — DR. HEUNG B KIM (MD) is active in the NPI listing used on this page.
What is DR. HEUNG B KIM (MD) best known for clinically?
Directory data describes DR. HEUNG B KIM (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HEUNG B KIM (MD) based?
DR. HEUNG B KIM (MD) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does DR. HEUNG B KIM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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