Provider Type Icon

DR. KIM ELISE BOWMAN MD NPI 1225075542


NPI Information

NPI: 1225075542
Provider Name: DR. KIM ELISE BOWMAN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION

PECOS Registration: Yes

CLIA Number: 22D0078014

Address:
1180 BEACON ST
SUITE 3B
BROOKLINE, MA
ZIP 02446
Phone: (617) 566-5600
Get Directions

DR. Kim Elise Bowman, MD is a geriatric medicine internal medicine in Brookline, MA with 46 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Kim Elise Bowman, MD NPI is 1225075542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

1180 BEACON ST
SUITE 3B
BROOKLINE, MA
ZIP 02446-885
Phone: (617) 566-5600
Fax: (617) 277-3745

The NPI 1225075542 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 22D0078014 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 2/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine45580MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110229079OTHERRAILROAD MEDICARE
20195855MEDICAIDMASSACHUSETTS
3755268OTHERTUFTS HEALTH PLAN
40092071OTHERAETNA/USHEALTHCARE
56849OTHERHARVARD PILGRIM HEALTHCAR
6468590OTHERHEALTHSOURCE
7B10226701OTHERCIGNA
8BOB30163OTHERMASSACHUSETTSBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.