Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jisoo Kim

Individual provider Diagnostic Radiology Physician · NPI 1770939399

Jisoo Kim is a Diagnostic Radiology in Boston, Massachusetts. Graduated from Geisel School of Medicine at Dartmouth in 2016, 10 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
10
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
IL, MA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7435 W Talcott Ave, Chicago, IL 60631-3707 — (773) 990-5978

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 281745 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125.069009 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770939399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2016 (10 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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