David J Kim, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

R1798 Issued in TX

Practice address

200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701

Phone

(512) 777-1211

NPI assigned

Apr 24, 2012

Last updated

Dec 9, 2024By 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 4

Addresses

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

Pain Management

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkim@tricitypain.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/BHAHDD/Endpoint/BHAHDD

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.

• Skyline Medical PLLC

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
  • NPI 1760200216

  Anesthesiology

  Medicare reassignment NPD Authorized official
• Tricity Pain Associates PA

  dba Phase 4 Physiotherapy

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1619244720

  Specialist

  Medicare reassignment NPD
• Skyline Pain PLLC

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
  • NPI 1831907575

  Anesthesiology

  NPD Authorized official
• Tricity Pain Associates PA

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1235016486
  NPD
• Tricity Anesthesia Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1831595990
  NPD (past)

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

• St Davids Healthcare Partnership LP LLP

  dba Round Rock Medical Center

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645
  Care Compare affiliation
• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1205194560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUTTERCUP CREEK BLVD STE 115",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133701",
            "telephone_number": "512-777-1211",
            "fax_number": "512-777-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUTTERCUP CREEK BLVD STE 115",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133701",
            "telephone_number": "512-777-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R1798",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R1798",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "R1798",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R1798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Khatwani, BACB
• Anuja Khunti, D.O.
• Shwol-Huo D. Kiang, DO
• Brenna Kidwell
• Dustin Gene Kiker, M.D.
• Georges Jiho Kim, LPC
• Juyoung Kim, DC
• Ronika Kim
• Seonsuk Kim
• Kindred Health Company LLC

• Interventional Pain Medicine Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.