Active NPI
Mi Hwa Kim, A-GNP-C
- Primary Care Nurse Practitioner
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1100508
- Practice address
- 4510 Medical Center Dr. Ste. 202
McKinney, TX 75069-3311 - Phone
- (214) 272-2774
- NPI assigned
- Aug 15, 2022
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1100508 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 1100508 | TX | Primary |
| Registered Nurse | 163W00000X | 865516 | TX |
Addresses
Primary practice location
4510 Medical Center Dr. Ste. 202
McKinney, TX 75069-3311
Mailing address
4510 Medical Center Dr. Ste. 202
McKinney, TX 75069
Phone (214) 272-2774
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Clarks Dr
Abilene, TX 79602-3146
Phone (877) 866-7123
14655 Preston Rd
Dallas, TX 75254-7805
Phone (877) 866-7123
17218 Preston Rd
Suite 2000
Dallas, TX 75252-4018
Phone (469) 518-8472
3325 W Plano Pkwy
Plano, TX 75075-8010
Phone (877) 866-7123
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 865516 | TX | MD | Registered Nurse |
| 1100508 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardio & Renal Therapeutics of North Texas PLLC | Current | Accepting new patients | |
| Vohra Post Acute Care Physicians of Texas, PLLC | Current | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185
3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484
401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094
5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472
1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300
4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557
5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774
300 N Highland Ave
Ste 365
Sherman, TX 75092
Phone (516) 721-7069
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1821424789
-
- Nephrology Physician
- Sherman, TX
- NPI 1649813296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1174251326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR. STE. 202",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "214-272-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR. STE. 202",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693311",
"telephone_number": "214-272-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MI",
"middle_name": "HWA",
"credential": "A-GNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2023-07-31",
"certification_date": "2023-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1100508",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1100508",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "865516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.