Active NPI
Deborah S Kim, CRNA
- Certified Registered Nurse Anesthetist
- Mission, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1190847
- Practice address
- 2602 San Patricio St
Mission, TX 78572-8600 - Phone
- (310) 998-7276
- NPI assigned
- Feb 20, 2025
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1190847 | TX | Primary |
Addresses
Primary practice location
2602 San Patricio St
Mission, TX 78572-8600
Mailing address
2602 San Patricio St
Mission, TX 78572-8600
Phone (310) 998-7276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 661-0529
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Current | Accepting new patients | |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients | |
| Renaissance Specialist Clinic | Current | Accepting new patients | |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients |
Locations
5415 S McColl Rd
Edinburg, TX 78539
Phone (956) 661-0529
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1841200805
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1932077013
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1952311441
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1144026196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 SAN PATRICIO ST",
"city": "MISSION",
"state": "TX",
"postal_code": "785728600",
"telephone_number": "310-998-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 SAN PATRICIO ST",
"city": "MISSION",
"state": "TX",
"postal_code": "785728600",
"telephone_number": "310-998-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1190847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
- Kidding Around Therapy, Inc. (Kid'n Around Therapy)
- Kidiatric Therapy Services
- Kidney Care Medical Center PA
- Kidney Doctors of South Texas PA
- Kids in Progress PLLC
- Kind Primary Home Care, LLC.
- Rebecca A Koehler, DMD
- Mohammad H Kotaki, MD
- L & N Amor Inc (Palomita Blanca Adult Day Care)
- La Agencia Provider Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.