Individual provider Active NPI

Judy Mihyun Kim, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1164622742
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4664 Issued in TX
Practice address
4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458
Phone
(310) 343-9401
NPI assigned
Jul 20, 2007
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P4664 TX Primary

Addresses

Primary practice location

4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458

Mailing address

11839 Mill Rock Rd
San Antonio, TX 78230-2625

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250801000905 TX Practitioner - Internal Medicine 4385704790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4664TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center,Inc CurrentSince Jul 22, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
David D Sohn MD Apc Internal Medicine Past Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

4751 Hamilton Wolfe Rd
Ste 200
San Antonio, TX 78229
Phone (210) 233-7126

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1164622742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11839 MILL ROCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLFE RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293458",
            "telephone_number": "310-343-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUDY",
        "middle_name": "MIHYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.