KYUNG H KIM (M.D.) – Gastroenterology Physician, NPI 1619974656

KYUNG H KIM (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 212007 (MA). The NPI Number for KYUNG H KIM (M.D.) is 1619974656

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
KYUNG H KIM (M.D.)
NPI
1619974656
Phone
(508) 831-0708
Address
100 CENTRAL ST
Enumeration Date
6 July 2005
Last Update Date
18 September 2013

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
5088310708
Graduation Year
1988 (38 years ago)
PAC ID
4981594686
Group Practice PAC ID
5698665388
Professional Enrollment ID
I20040317000506
Address ID
MA016045465WO328XXSTXX303
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

828 GASTROENTEROLOGY in MA

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Provider Addresses for KYUNG H KIM (M.D.)

  • Southbridge Bicycles, 100, Central Street, Southbridge, Worcester County, Massachusetts, 01550, United States

    4TH FLOOR

    WORCESTER, MA 016081209

    Phone: (508) 831-0708

    Fax: (508) 831-0272

    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 131 Open Payments records for all available years, with a total value of $2,863.

Total Amount is formed as General ($2,863) + Research ($0) + Ownership ($0) = $2,863.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,350).

Total Amount

$2,863

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,863

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

Top Companies

Largest payers in this snapshot

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: 2004-03-17

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
I20040317000506IGastroenterologyMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes258174$0
45380Biopsy of large bowel using a flexible endoscope141141$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8383$0
45378Diagnostic exam of large bowel using a flexible endoscope8080$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk4949$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 5698665388View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
G A S T R O E N T E R O L O G YMA

Reviews

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Frequently asked questions

What number should I use to identify KYUNG H KIM (M.D.) for billing?
Administrative and clinical systems typically use NPI 1619974656 for KYUNG H KIM (M.D.).
Is KYUNG H KIM (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KYUNG H KIM (M.D.) as active.
What does the directory say KYUNG H KIM (M.D.) does?
Insurance directories may phrase it differently, but here KYUNG H KIM (M.D.) maps to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KYUNG H KIM (M.D.)?
KYUNG H KIM (M.D.) is associated with Worcester, Massachusetts in the same public data insurers reference.
Can I export KYUNG H KIM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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