Active NPI
Kyu Kim Jana, MD
- Family Medicine Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N8934
- Practice address
- 400 Harborside Dr
Ste 104
Galveston, TX 77555-0001 - Phone
- (409) 772-2166
- Fax
- (409) 772-2663
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N8934 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 227412 | NY | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME99852 | FL |
Addresses
Primary practice location
400 Harborside Dr
Ste 104
Galveston, TX 77555-0001
Mailing address
301 University Blvd
Galveston, TX 77555-1250
Phone (409) 744-4030
Other practice location 1
301 University Blvd
Galveston, TX 77555-1250
Phone (409) 744-4030
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026166201 | Other | NY | UNIVERA # |
| 040426003337 | Other | NY | FIDELIS CARE # |
| 5996171 | Other | NY | GHI PPO # |
| P00189134 | Other | NY | MEDICARE RAILROAD # |
| 0492681 | Other | NY | IHA # |
| 159651BF | Other | NY | PREFERRED CARE # |
| 000527217002 | Other | NY | HEALTH NOW BCBS # |
Other names 1
- Kyu Won Kim
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Hawaii John a. Burns School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
- Bayou Pines Care Center
- The Meridian
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Neil Coskun, MD,PA | Past | Accepting new patients | |
| Winnie-Stowell Hospital District | Past | Accepting new patients |
Locations
6710 Stewart Rd
Ste 100
Galveston, TX 77551
Phone (409) 744-4030
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
Interoperability endpoints
- kjanamd18890@direct.utmb.edu
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Skilled Nursing Facility
- La Marque, TX
- NPI 1427897230
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1205916699
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Galveston, TX
- NPI 1679898803
Nursing home
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1285686154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551250",
"telephone_number": "409-744-4030",
"fax_number": "409-740-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARBORSIDE DR",
"address_2": "STE 104",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550001",
"telephone_number": "409-772-2166",
"fax_number": "409-772-2663"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775551250",
"country_code": "US",
"telephone_number": "409-744-4030",
"fax_number": "409-740-4187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANA",
"first_name": "KYU",
"middle_name": "KIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N8934",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "227412",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME99852",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00026166201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "040426003337",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "5996171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "P00189134",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "0492681",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "159651BF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW BCBS #",
"identifier": "000527217002",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KYU WON",
"last_name": "KIM",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.