Individual provider

Tesia Kim, MD, MSED

Obstetrics & Gynecology Physician Gynecology Physician Medicare enrolled

Tesia Kim, MD, MSED is a Gynecology Physician in Boston, MA, registered under NPI 1629636113. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 55 FRUIT ST, Boston, MA 02114. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

55 FRUIT ST, Boston, MA 02114 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1013664 MA Obstetrics & Gynecology Physician
1013664 MA Gynecology Physician primary

This provider holds licence 1013664 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
0749642858
Enrollment ID
I20230821003232

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gynecology covers

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. NUCC Health Care Provider Taxonomy, code 207VG0400X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology Gynecology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician 1013664 MA
207VG0400X Gynecology Physician Gynecology 1013664 MA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629636113 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 30, 2019
Last updatedJun 5, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialMD, MSED
Practice address 55 FRUIT ST
Boston, MA 02114
(781) 487-3860
Other names Tesia Koi Former Legal Business Name
This record was updated on Jun 5, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1629636113 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 6 3 6 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 3 3 3 1 2

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629636113?
NPI 1629636113 is the National Provider Identifier assigned to Tesia Kim, MD, MSED in Boston, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gynecology cover?
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
How do I contact Tesia Kim, MD, MSED?
The phone number on file with NPPES is (781) 487-3860, last updated Jun 5, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tesia Kim, MD, MSED accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629636113 a valid number?
Yes. 1629636113 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.