Active NPI
Brian S. Kim, M.D.
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J6003
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A62989 | CA | |
| Anesthesiology Physician | 207L00000X | J6003 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
3705 Medical Pkwy Ste 570
Austin, TX 78705-1024
Phone (512) 454-2554
Other practice location 2
2801 Atlantic Ave
Dept. of Anesthesiology
Long Beach, CA 90806-1701
Phone (562) 933-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A629890 | Other | CA | BLUE SHIELD ID # |
| 050066342 | Other | CA | RAILROAD MEDICARE ID # |
| 00A629890385 | Other | CA | CALOPTIMA ID # |
| 00A629890 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Baylor College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000
Hospital & facility affiliations
- Dell Seton Med Center at the University of TX
- Ascension Seton Williamson
- Ascension Seton Medical Center Austin
- Ascension Seton Northwest
- Ascension Seton Cedar Park
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6003 | TX | MD | Anesthesiology Physician |
| 62989 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Anesthesia Associates Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Anesthesiology | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiology | Current | Accepting new patients |
Locations
2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
3705 Medical Pkwy
Ste 570
Austin, TX 78705
Phone (512) 454-2454
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Interoperability endpoints
- brian.kim@287096241061890.direct.elationemr.com
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Long Beach, CA
- NPI 1457399933
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Anesthesiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
-
- General Acute Care Hospital
- Austin, TX
- NPI 1124137054
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1578780870
-
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1285657015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "3705 Medical Pkwy Ste 570",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787051024",
"country_code": "US",
"telephone_number": "512-454-2554",
"fax_number": "512-454-2824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 Atlantic Ave",
"address_2": "Dept. of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908061701",
"country_code": "US",
"telephone_number": "562-933-2000",
"fax_number": "562-933-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BRIAN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A62989",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J6003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID #",
"identifier": "00A629890",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID #",
"identifier": "050066342",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA ID #",
"identifier": "00A629890385",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A629890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.