Form Health Associates Ma, P.C.
NPI 1386260594ActiveOrganization· Internal Medicine, Endocrinology, Diabetes & Metabolism· Boston, MA
Internal Medicine, Endocrinology, Diabetes & Metabolism in Boston, Massachusetts, registered in NPPES in June 2020. The authorized official on file is Nam H. Kim, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1386260594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2020 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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