Nam H Kim

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

H6343 Issued in TX

Practice address

605 E 4TH St Ste 201
Odessa, TX 79761-5100

Phone

(855) 505-1212

Fax

(855) 505-1212

NPI assigned

Sep 6, 2006

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 3

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

University of Texas Medical School at San Antonio, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Scenic Mountain Medical Center Hospital, Big Spring, TX, CCN 450653
• Ward Memorial Hospital Hospital, Monahans, TX, CCN 451373
• Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nam.kim.1@1603.direct.athenahealth.com

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.

• Big Bend Medical Group

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282

  TX

  Medicare reassignment Care Compare group NPD
• West Texas Cardiology PA

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1477814028
  NPD (past) Authorized official
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Leo Villaroman, MD, PA

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1609020452
  NPD (past)

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

• Andrews County Hospital District

  • Rural Acute Care Hospital
  • Andrews, TX
  • NPI 1174563779

  Hospital

  Care Compare affiliation
• Big Spring Texas Hospital Company LLC

  • General Acute Care Hospital
  • Big Spring, TX
  • NPI 1336976034

  Hospital

  Care Compare affiliation
• County of Ward

  • Critical Access Hospital
  • Monahans, TX
  • NPI 1720096019

  Hospital

  Care Compare affiliation
• County of Ward

  • Emergency Medicine Physician
  • Monahans, TX
  • NPI 1881782423

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994

  Hospital

  Care Compare affiliation
• Odessa Texas Hospital Company LLC

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1154424364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615100",
            "telephone_number": "432-331-9900",
            "fax_number": "855-505-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615100",
            "telephone_number": "855-505-1212",
            "fax_number": "855-505-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAM",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H6343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "0053CU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "H6343",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131213405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krish Ashok Kherajani
• Hildano Kidangathazha
• Ashley Nichole Kidd, OTR
• Shanna Kidd, PA-C
• Kids Dentistree of Abbeville-Odessa PLLC
• Sam Eun Kim, M.D.
• Younggil Kim, DDS
• Andrew Scott Kimber, DO
• Kendall Brook Kimbrough, SLP
• Erin Kimmel, M.A.,CCC-SLP

• All providers in Odessa, TX
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.
• 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.

Verify at the official NPI Registry.