SUSAN J KIM (MD) – Hematology & Oncology Physician, NPI 1891985990

SUSAN J KIM (MD) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 233162 (MA). The NPI Number for SUSAN J KIM (MD) is 1891985990

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN J KIM (MD)
NPI
1891985990
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
26 July 2007
Last Update Date
22 April 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5089737888
Graduation Year
2004 (22 years ago)
PAC ID
6305931643
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20071002000667
Address ID
MA027205239FA506XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
skim12956@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

606 HEMATOLOGY/ONCOLOGY in MA

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Provider Addresses for SUSAN J KIM (MD)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    STE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 206, Mill Road, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027195208

    Phone: (508) 973-3000

    Fax: (508) 973-3119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,736.

Total Amount is formed as General ($1,736) + Research ($0) + Ownership ($0) = $1,736.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Lilly USA, LLC ($1,000).

Total Amount

$1,736

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

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: 2007-10-02

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
I20071002000667IHematology/OncologyMATBD

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 minutes666217$0
99213Established patient office or other outpatient visit, 20-29 minutes559365$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8078$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6249$0
99215Established patient office or other outpatient visit, 40-54 minutes5245$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN J KIM (MD)'s NPI?
Yes. SUSAN J KIM (MD) is listed with NPI 1891985990 in the public NPI dataset.
Is SUSAN J KIM (MD) listed as active for patients and plans?
The listing shows SUSAN J KIM (MD) as active in the NPI system.
What healthcare role does SUSAN J KIM (MD) hold?
Scheduling teams often label SUSAN J KIM (MD) under Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Does SUSAN J KIM (MD) list a practice location?
Patients near Fairhaven, Massachusetts may find SUSAN J KIM (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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