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

Peter Seihwan Kim, MD

Individual provider Plastic Surgery Physician · NPI 1174655914

Peter Seihwan Kim, MD is a Plastic and Reconstructive Surgery in Waltham, Massachusetts. Qualified in 2003, 23 years ago. Practices with Northeast Orthopaedic Alliance PLLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Massachusetts.

Years since qualifying
23
Licensed in
IL, MA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

840 Winter St
Waltham, MA 02451-1433
Phone: (781) 890-2133
Fax: (781) 890-2177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Plastic Surgery) Physician (primary) Taxonomy 2082S0105X · Licence 249412 (MA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 336078195 (IL)
Plastic Surgery Physician Taxonomy 208200000X · Licence 249412 (MA)

Record details

NPI number1174655914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address71 Border Rd Ste 300, Waltham, MA 02451-1044

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Northeast Orthopaedic Alliance Pllc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services