DR. TESIA G KIM (MD, MSED) – Gynecology Physician, NPI 1629636113

DR. TESIA G KIM (MD, MSED) is a healthcare provider. based in Boston, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD, MSED. They hold a License No. 1013664 (MA). The NPI Number for DR. TESIA G KIM (MD, MSED) is 1629636113

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. TESIA G KIM (MD, MSED)
NPI
1629636113
Phone
(617) 667-3736
Address
330 BROOKLINE AVE # SHAPIRO8
Enumeration Date
30 May 2019
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177240287
Graduation Year
2019 (7 years ago)
PAC ID
0749642858
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20230821003232
Address ID
MA021142696BO55XXXSTXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for DR. TESIA G KIM (MD, MSED)

  • 330 BROOKLINE AVE # SHAPIRO8

    BOSTON, MA 022155491

    Phone: (617) 667-3736

    Type: Mailing

  • 52 Second Ave

    Waltham, MA 024511127

    Phone: (781) 487-6800

    Type: Location

  • 81 Highland Ave

    Salem, MA 019702714

    Phone: (978) 741-1200

    Type: Location

  • 2014 Washington St

    Newton, MA 024621607

    Phone: (617) 243-6000

    Type: Location

  • 55 FRUIT ST

    BOSTON, MA 021142696

    Phone:

    Type: Mailing

  • 102 Endicott St

    Danvers, MA 019233623

    Phone: (978) 882-6100

    Type: Location

  • 75 Francis St

    Boston, MA 021156110

    Phone: (617) 732-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($421).

Total Amount

$421

General + Research + Ownership

Payments

2

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$421
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: 2023-08-21

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
I20230821003232IObstetrics/GynecologyMATBD

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 02215)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
P A T H O L O G YPA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA
P A T H O L O G YTX

Reviews

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Frequently asked questions

How do payers reference DR. TESIA G KIM (MD, MSED)?
For DR. TESIA G KIM (MD, MSED), use NPI 1629636113 as the unique 10-digit identifier.
Would DR. TESIA G KIM (MD, MSED) appear as active to a payer?
You can treat DR. TESIA G KIM (MD, MSED) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. TESIA G KIM (MD, MSED)?
DR. TESIA G KIM (MD, MSED) is associated with Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. TESIA G KIM (MD, MSED) registered?
Use Boston, Massachusetts as the headline location for DR. TESIA G KIM (MD, MSED) here.
What does 9 location(s) imply?
9 practice locations appear in the available data.

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