Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669754925 Individual Practitioner Male Practitioner

Dr. Peter Kim , MD

Surgery - Pediatric Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Providence, RI. Practice services are available at 2 DUDLEY ST STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St Ste 190

Providence, RI 029053248

Telephone 4015538341
Fax 4018682319
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Providence, RI (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-05
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License RI MD16869

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License DC MD039738

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Francois Luks , MD

Surgery - Pediatric Surgery

NPI 1124025937

Doctor of Medicine (M.D.)

Dr. Carl-Christian Jackson , MD

Surgery - Pediatric Surgery

NPI 1235355173

Doctor of Medicine (M.D.)

Dr. Arlet Kurkchubasche , MD

Surgery - Pediatric Surgery

NPI 1316944127

Doctor of Medicine (M.D.)

Dr. Artur Chernoguz , MD

Surgery - Pediatric Surgery

NPI 1326206152

Doctor of Medicine (M.D.)

Dr. Joshua Honeyman , MD

Surgery - Pediatric Surgery

NPI 1356673271

Doctor of Medicine (M.D.)

Dr. Julie Monteagudo , MD

Surgery - Pediatric Surgery

NPI 1417277161

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 26, 2019

Registered at 2 DUDLEY ST STE 190, PROVIDENCE, RI 029053248 (Tel: 4015538341)

📍
Updated Business Mailing Address September 26, 2019

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2011

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024764000)

📍
Updated Business Mailing Address September 13, 2011

Registered at PO BOX 37215, BALTIMORE, MD 212973215 (Tel: 2024764000)

👤
Provider Name / Credentials Updated September 13, 2011

Recorded as PETER KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

Surgery (License #MD039738 in DC)

🟢
Initial NPI Registration & Enumeration September 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669754925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2011
Last Update: February 05, 2020
Sole Proprietor: No

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.