Individual provider Active NPI

Elizabeth Yim, MD MPH

  • Dermatology Physician
  • Buda, TX
National Provider Identifier
1326435454
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
T9536 Issued in TX
Practice address
5235 Overpass Rd Ste 200
Buda, TX 78610-9753
Phone
(512) 504-0888
NPI assigned
Apr 15, 2015
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X T9536 TX Primary
Dermatology Physician 207N00000X A159680 CA

Addresses

Primary practice location

5235 Overpass Rd Ste 200
Buda, TX 78610-9753

Mailing address

5235 Overpass Rd Ste 200
Buda, TX 78610-9753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190828000470 CA Practitioner - DermatologyPractitioner - Internal Medicine 3375880040 Reassigns benefits to 1 organization
I20221212002890 TX Practitioner - Dermatology 3375880040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

313 E 12TH St
Austin, TX 78701-1955
Phone (512) 324-9650

5235 Overpass Rd
Buda, TX 78610-9753

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions256
Removal or shaving of skin growth1-10
Skin biopsy95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159680CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Nov 22, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Dec 5, 2022 Accepting new patients
County of Los Angeles CurrentSince Nov 22, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Dec 5, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

313 E 12th St
Ste 101
Austin, TX 78701
Phone (512) 324-9650

5235 Overpass Rd
Ste 200
Buda, TX 78610
Phone (512) 324-0098

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: elizabeth.yim.1@8363.direct.athenahealth.com
  • Direct secure messaging: elizabeth.yim@49420620398596.direct.elationemr.com
  • Direct secure messaging: eyim726994@direct.uclahealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1326435454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 OVERPASS RD STE 200",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 OVERPASS RD STE 200",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109753",
            "telephone_number": "512-504-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T9536",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A159680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

Verify at the official NPI Registry.