NPIMap

Individual provider Active NPI

Kim Jeannine Horn, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1114052545
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H5712 Issued in TX
Practice address
1740 W 27TH St
209
Houston, TX 77008-1440
Phone
(713) 863-7063
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X H5712 TX Primary

Addresses

Primary practice location

1740 W 27TH St
209
Houston, TX 77008-1440

Mailing address

1740 W 27TH St
209
Houston, TX 77008-1440
Phone (713) 863-7063

Other identifiers 2

IdentifierTypeStateIssuer
10014568OtherTXMEDICAID
25358MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000505 TX Practitioner - Internal MedicinePractitioner - Nephrology 7719145713 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Rajesh Shenava and Associates MD PAGroup PAC ID 5890970040, 2 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 35
Houston, TX 77008-1445
Phone (713) 869-3333

Hospital & facility affiliations

  • DaVita NorthStar Dialysis Center Dialysis facility, Houston, TX, CCN 452675
  • Fresenius Kidney Care Greater Heights Dialysis facility, Houston, TX, CCN 742736
  • DaVita North Houston Dialysis Center Dialysis facility, Houston, TX, CCN 452678
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Shenava & Associates MD PA Nephrology CurrentSince Sep 1, 2023 Accepting new patients
Salim Abdullah Lakhani M.D., PA Current Accepting new patients
Greater Heights Holistic Psychiatry PastSince Jul 10, 2019 Accepting new patients
KHD Healthcare Clinic P.a. Nephrology Past Accepting new patients

Locations

1801 North Loop W
Ste 35
Houston, TX 77008
Phone (713) 868-9994

7941 Katy Fwy
Houston, TX 77024
Phone (713) 955-4748

Interoperability endpoints

  • Direct secure messaging: khorn44622@direct.davitaphysiciansolutions.com
  • Direct secure messaging: kim.horn@289410454192132.direct.elationemr.com

Organizations & group practices 4

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

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1114052545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-863-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-863-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "KIM",
        "middle_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H5712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "10014568",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25358",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.