Active NPI
Benjamin Wonwoo Kim, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1295423036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- W9142
- Practice address
- 18220 State Highway 249 Ste 400
Houston, TX 77070-4349 - Phone
- (281) 737-0570
- NPI assigned
- Apr 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | W9142 | TX | Primary |
Addresses
Primary practice location
18220 State Highway 249 Ste 400
Houston, TX 77070-4349
Mailing address
18220 State Highway 249 Ste 400
Houston, TX 77070-4349
Phone (281) 737-0570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1295423036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 STATE HIGHWAY 249 STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704349",
"telephone_number": "281-737-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 STATE HIGHWAY 249 STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704349",
"telephone_number": "281-737-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BENJAMIN",
"middle_name": "WONWOO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-28",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "W9142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.