THOMAS KIM – Orthopaedic Hand Surgery Physician, NPI 1003105032

THOMAS KIM is a healthcare provider. based in Providence, Rhode Island. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold a License No. 9445 (MD). The NPI Number for THOMAS KIM is 1003105032

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS KIM
NPI
1003105032
Phone
(401) 457-2168
Address
2 Dudley St
Enumeration Date
30 March 2011
Last Update Date
10 December 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5104901222
Graduation Year
2011 (15 years ago)
PAC ID
6709034481
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20171010001578
Address ID
CA945382299FR3200XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:15State licenses:3Digital endpointsOther names

27 HAND SURGERY in RI

Provider Addresses for THOMAS KIM

  • 2 Dudley St

    Suite 200

    Providence, RI 029053236

    Phone: (401) 457-2168

    Fax: (401) 831-8455

    Type: Location

  • 18 Bon Air Rd

    Larkspur, CA 949391123

    Phone: (415) 927-5300

    Fax: (415) 927-6860

    Type: Location

  • PO BOX 1119

    PROVIDENCE, RI 029011119

    Phone: (401) 457-2168

    Fax: (401) 831-8455

    Type: Mailing

  • 18 BON AIR RD

    LARKSPUR, CA 949391123

    Phone: (415) 927-5300

    Fax: (415) 927-6860

    Type: Location

  • 3200 KEARNEY ST

    FREMONT, CA 945382299

    Phone: (510) 490-1222

    Type: Location

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (510) 490-1222

    Fax: (401) 831-8455

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Evolution Surgical, Inc ($131).

Total Amount

$226

General + Research + Ownership

Payments

4

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2017-10-10

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
I20171010001578IHand SurgeryCATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,266183$0
99214Established patient office or other outpatient visit, 30-39 minutes309239$0
99204New patient office or other outpatient visit, 45-59 minutes202202$0
20550Injection into tendon or ligament128101$0
99213Established patient office or other outpatient visit, 20-29 minutes9578$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 4284538778View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YCA
-CA
Obstetrics/Gynecology, HospitalistCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA
G A S T R O E N T E R O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for THOMAS KIM?
THOMAS KIM — NPI 1003105032 — is the standard way to identify this listing.
Does the file indicate THOMAS KIM is practicing under active NPI?
Directory data currently reports THOMAS KIM as active.
What healthcare role does THOMAS KIM hold?
Scheduling teams often label THOMAS KIM under Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is THOMAS KIM based?
THOMAS KIM is tied to Providence, Rhode Island in the data we show; additional addresses may exist on the full record.
Is the information about THOMAS KIM up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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