Individual provider Active NPI

Thomas Kim, M.D., M.P.H.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1093756074
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.024557 Issued in LA
Practice address
7535 E Hampden Ave # 407
Denver, CO 80231-4838
Phone
(303) 578-2702
NPI assigned
Jun 9, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N5158 TX
Internal Medicine Physician 207R00000X MD.024557 LA Primary
Psychiatry Physician 2084P0800X DR.0053879 CO
Psychiatry Physician 2084P0800X MD.024557 LA
Psychiatry Physician 2084P0800X N5158 TX

Addresses

Primary practice location

7535 E Hampden Ave # 407
Denver, CO 80231-4838

Mailing address

3900 Junius St Ste 300
Dallas, TX 75246-1602
Phone (214) 521-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160404002062 TX Practitioner - PsychiatryPractitioner - Internal Medicine 2860412426 Reassigns benefits to 1 organization
I20231206004185 CO Practitioner - Psychiatry 2860412426 Reassigns benefits to 1 organization
I20250718003162 AZ Practitioner - Psychiatry 2860412426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noma Therapy of Colorado PCGroup PAC ID 4789033408, 4 clinicians

Practice addresses (Care Compare)

16930 E Palisades Blvd
Suite 100 Office No. 149
Fountain Hills, AZ 85268-3731
Phone (303) 578-2702

3800 N Lamar Blvd
Suite 200 Office No 2075
Austin, TX 78756-0003
Phone (303) 578-2702

7535 E Hampden Ave
Suite 407
Denver, CO 80231-4838
Phone (303) 578-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0053879COMDPsychiatry Physician
MD.024557LAMDPsychiatry Physician
N5158TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noma Therapy of Colorado PC CurrentSince Mar 20, 2023 Accepting new patients
Liles Counseling Professional Limited Liability Company Past Accepting new patients
New Dawn Services Past Accepting new patients

Locations

16930 E Palisades Blvd
Ste 100
Fountain Hills, AZ 85268
Phone (201) 293-7689

2205 W 136th Ave
#106146
Broomfield, CO 80023

7535 E Hampden Ave
#407
Denver, CO 80231
Phone (303) 578-2702

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1093756074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461602",
            "telephone_number": "214-521-5191",
            "fax_number": "844-873-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 E HAMPDEN AVE # 407",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314838",
            "telephone_number": "303-578-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5158",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.024557",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0053879",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.024557",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N5158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.