Form Health Associates Ma, P.C.
NPI 1386260594 · Endocrinology, Diabetes & Metabolism Physician · Boston, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Form Health Associates Ma, P.C. is a Endocrinology, Diabetes & Metabolism Physician organization in Boston, MA (NPI 1386260594).
Provider details
- NPI number
- 1386260594
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nam Kim, President(617) 505-1520
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Form Health Associates Ma, P.C.'s NPI number?
- Form Health Associates Ma, P.C.'s National Provider Identifier (NPI) is 1386260594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form Health Associates Ma, P.C.?
- Form Health Associates Ma, P.C. is classified in the NPPES registry as Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Form Health Associates Ma, P.C. located?
- Form Health Associates Ma, P.C.'s practice location on file with NPPES is 109 State Street, Boston, MA 02109-2906.
- What is Form Health Associates Ma, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Form Health Associates Ma, P.C. is (617) 505-1520.
- Does Form Health Associates Ma, P.C. accept Medicare?
- Form Health Associates Ma, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Form Health Associates Ma, P.C.?
- The authorized official listed on Form Health Associates Ma, P.C.'s NPPES record is Nam Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form Health Associates Ma, P.C.'s NPI active?
- Yes — Form Health Associates Ma, P.C.'s NPI (1386260594) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.