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Active NPI 1205943511 Individual Practitioner Male Practitioner

Dr. Peter K Kim , MD

Surgery • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, MD is a certified Surgery practicing in Warwick, RI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Kim delivers high-quality medical care to the local community at 455 TOLL GATE RD.

Dr. Kim maintains professional affiliations with Tanana Valley Clinic Llc, Bay Area Hospital District, Grande Ronde Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Toll Gate Rd

Warwick, RI 028862759

Telephone 4017377010
Fax 4017380013
Associated Practice Facility / Clinic
🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Warwick, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +1.1 yrs vs City Avg
City Avg: 27.9 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Warwick, RI (160 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (29 Years) 29 Yrs
Warwick Specialty Average (27.9 Years) 27.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 14 $466.00 $169.39

Medical Specialties & State Licenses

CMS Verified: 2023-01-09
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD18930

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 235272

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.

Hospital & Practice Group Affiliations

Grande Ronde Hospital Inc

900 Sunset Dr, La Grande, OR 978501387

Phone: 5419638421

Bay Area Hospital District

1775 Thompson Rd, Coos Bay, OR 974202125

Phone: 5412698280

Tanana Valley Clinic Llc

1650 Cowles St, Fairbanks, AK 997015998

Tanana Valley Clinic Llc

1650 Cowles St, Fairbanks, AK 997015998

Tanana Valley Clinic Llc

1001 Noble St, Fairbanks, AK 997014948

Phone: 9074593500

Secondary Practice Locations

241 North Rd

Poughkeepsie, NY 126011154

Phone: 8454835000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennifer Jennings , NP

Nurse Practitioner - Adult Health

NPI 1003213257

Nurse Practitioner

Dr. Christopher Baze , DO

Emergency Medicine

NPI 1003550401

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelly Sanchez , MD

Family Medicine

NPI 1003610312

Doctor of Medicine (M.D.)

NPI 1013237924

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Wright , DO

Student in an Organized Health Care Education/Training Program

NPI 1013766906

Doctor of Osteopathic Medicine (D.O.)

Tiffani Najadifar

Internal Medicine

NPI 1013858778

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 09, 2023

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4017377010)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 241 NORTH RD, POUGHKEEPSIE, NY 126011154 (Tel: 8454835000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 55 FIRST ST, APT. 312, PELHAM, NY 108031451 (Tel: 9147723443)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #235272 in NY)

🟢
Initial NPI Registration & Enumeration August 23, 2006

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: 1205943511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: January 09, 2023
Sole Proprietor: Yes

Mailing Address

55 First St, Apt. 312

Pelham, NY 108031451

Phone: 9147723443

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.