SORA KIM – Anesthesiology Physician, NPI 1659626141

SORA KIM is a healthcare provider. based in Burlington, Massachusetts. specializing in ANESTHESIOLOGY. They hold a License No. 265642 (MA). The NPI Number for SORA KIM is 1659626141

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SORA KIM
NPI
1659626141
Phone
Not provided
Address
11 SEVEN SPRINGS LN
Enumeration Date
20 July 2012
Last Update Date
17 November 2016

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7818352111
Graduation Year
2012 (14 years ago)
PAC ID
8325272297
Group Practice PAC ID
4082614979
Professional Enrollment ID
I20160829000144
Address ID
MA021803649ST91XXXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for SORA KIM

  • 11 SEVEN SPRINGS LN

    APT 107

    BURLINGTON, MA 018035142

    Phone:

    Type: Mailing

  • 295 VARNUM AVE

    LOWELL, MA 018542134

    Phone: (978) 937-6000

    Type: Location

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: 2016-08-29

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
I20160829000144IAnesthesiologyMATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope9898$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3939$0
00812Anesthesia for exam of colon using an endoscope3939$0
00813Anesthesia for procedure on small and large bowel using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 01803)

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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: 4082614979View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YRI

Reviews

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Frequently asked questions

What federal number belongs to SORA KIM?
The federal identifier for SORA KIM is NPI 1659626141.
Is SORA KIM's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SORA KIM?
The page reflects Anesthesiology Physician for SORA KIM. Clinical services aligned with this taxonomy classification.
Does SORA KIM practice in Massachusetts?
You will see Burlington, Massachusetts on file for SORA KIM alongside any extra practice locations.
How can I contact SORA KIM?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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