DR. ANDREW I KIM (MD) – Urology Physician, NPI 1689036410

DR. ANDREW I KIM (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 81077 (CT). The NPI Number for DR. ANDREW I KIM (MD) is 1689036410

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW I KIM (MD)
NPI
1689036410
Phone
(413) 272-4427
Address
100 WASON AVE STE 120
Enumeration Date
22 March 2016
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132412100
Graduation Year
2016 (10 years ago)
PAC ID
8224323100
Group Practice PAC ID
7214972207
Professional Enrollment ID
I20260209000749
Address ID
CT060825424EN140XXAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

365 UROLOGY in MA

Provider Addresses for DR. ANDREW I KIM (MD)

  • 100 WASON AVE STE 120

    SPRINGFIELD, MA 011071179

    Phone: (413) 272-4427

    Fax: (413) 735-2012

    Type: Mailing

  • 22 S GREENE ST

    S8B02

    BALTIMORE, MD 212011544

    Phone: (410) 328-7399

    Type: Mailing

  • 140 Hazard Ave Ste 103

    Enfield, CT 060825424

    Phone: (413) 241-2100

    Fax: (413) 735-1986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $379.

Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: UROGEN PHARMA, INC. ($92).

Total Amount

$379

General + Research + Ownership

Payments

14

Total payment records

General Amount

$379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2026-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210923003002IUrologyMATBD
I20260209000749IUrologyCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes656516$0
81003Automated urinalysis test457406$0
87798Detection test by nucleic acid for organism, amplified probe technique39030$0
51798Ultrasound measurement of bladder capacity after voiding349306$0
99213Established patient office or other outpatient visit, 20-29 minutes169166$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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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: 7214972207View full group profile
NameSpecialtyState
U R O L O G YMA
Physician AssistantMA
U R O L O G YMA
U R O L O G YMA
U R O L O G YMA
-MA
U R O L O G YMA
U R O L O G YMO
Physician AssistantMA
U R O L O G YMA

Reviews

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Frequently asked questions

What identifier follows DR. ANDREW I KIM (MD) across health systems?
The NPI 1689036410 uniquely identifies DR. ANDREW I KIM (MD) in U.S. healthcare data.
Is DR. ANDREW I KIM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ANDREW I KIM (MD) as active.
How should patients interpret DR. ANDREW I KIM (MD)'s specialty?
The extract shows Urology Physician for DR. ANDREW I KIM (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDREW I KIM (MD)?
The directory associates DR. ANDREW I KIM (MD) with Springfield, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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