Active NPI
Caroline Kim, MD, PLLC
- Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CAROLINE KIM, MD, PLLC
- Practice address
- 2222 Greenhouse Rd Ste 1800
Houston, TX 77084-7855 - Phone
- (713) 464-2100
- Fax
- (281) 392-2032
- NPI assigned
- Aug 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Caroline Kim, MD
- Title
- Owner
- Phone
- (615) 498-0537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2222 Greenhouse Rd Ste 1800
Houston, TX 77084-7855
Mailing address
2222 Greenhouse Rd Ste 1800
Houston, TX 77084-7855
Phone (713) 464-2100
Other practice location 1
929 Gessner Rd Ste 2470
Houston, TX 77024-2841
Phone (713) 932-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q5456 | Other | TX | GENERAL SURGERY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
929 Gessner Rd
Ste 2470
Houston, TX 77024
Phone (713) 932-1001
2222 Greenhouse Rd
Ste 1800
Houston, TX 77084
Phone (713) 463-4005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Houston, TX
- NPI 1457595530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1255944260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 GREENHOUSE RD STE 1800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847855",
"telephone_number": "713-464-2100",
"fax_number": "281-392-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 GREENHOUSE RD STE 1800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847855",
"telephone_number": "713-464-2100",
"fax_number": "281-392-2032"
}
],
"practiceLocations": [
{
"address_1": "929 Gessner Rd Ste 2470",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242841",
"country_code": "US",
"telephone_number": "713-932-1001",
"fax_number": "713-932-0037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINE KIM, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-498-0537",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL SURGERY",
"identifier": "Q5456",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Carol S Miers Marriage and Family Therapy PLLC
- Carole and Ronald Krist Samaritan Counseling Center
- Carolina Pintos Therapy-Lymphatic Draiange & Post Op Treatments, PLLC
- Caroline Clarke MD PLLC
- Caroline Emergency Physicians PLLC
- Caroline Njeri Mbogua MD
- Caroline Surgical Associates, PLLC
- Carolyn Home Healthcare
- Carolyn'S Home Health Staffing Service
- Caromon Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.