Active NPI
Eunsung Elisa Kim, M.D.
- Sports Medicine (Family Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- R9792
- Practice address
- 9090 Katy Fwy Ste 200
Houston, TX 77024-1696 - Phone
- (832) 522-8720
- NPI assigned
- Apr 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | R9792 | TX | Primary |
Addresses
Primary practice location
9090 Katy Fwy Ste 200
Houston, TX 77024-1696
Mailing address
14023 Southwest Fwy
Sugar Land, TX 77478-3550
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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Houston, TX 77024
Phone (832) 522-8720
4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
Hospital & facility affiliations
- Houston Methodist Hospital
- Houston Methodist West Hospital
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Sports Medicine | Current | Accepting new patients |
Locations
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
9090 Katy Fwy
Ste 200
Houston, TX 77024
Phone (832) 522-8720
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- ekim376757@directhoustonmethodist.org
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Sports Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1306371695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14023 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 KATY FWY STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241696",
"telephone_number": "832-522-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUNSUNG",
"middle_name": "ELISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "R9792",
"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 Apr 5, 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.