Jin Kim, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K9825 Issued in TX

Practice address

605 Holderrieth Blvd
Tomball, TX 77375-6445

Phone

(281) 401-7695

NPI assigned

Jul 21, 2006

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment NPD
• Brazos Emergency Physicians, PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1205948635
  NPD (past)
• Camino Real Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Livingston, TX
  • NPI 1992871966
  NPD (past)
• Fort Bend Emergency Associates PA

  • Emergency Medicine Physician
  • Katy, TX
  • NPI 1487856886
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1003096553
  NPD (past)
• Memorial Southwest Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1831124114
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1114948999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 ISLA VISTA CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770416056",
            "telephone_number": "832-566-1976",
            "fax_number": "832-467-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445",
            "telephone_number": "281-401-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K9825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046407508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F8871",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidney Center of North Houston
• Todd P. Kielman, PA-C, MPAS
• Sandra Kilson, RPH
• Carly Kim, R.D., L.D.
• Christopher Kim, MD
• Su Jung Kim
• Lisa Paul Kimbell, MD
• Terri Diane Kimble
• Gabrielle Kindley
• Kinetic Massage Works

• Emergency Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.