Elizabeth Carroll Kim, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N5157 Issued in TX

Practice address

6513 Preston Rd
Plano, TX 75024-2688

Phone

(972) 608-2025

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elizabeth Carroll Pitts Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Texas Southwestern Medical School at Dallas, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Merit-based Incentive Payment System (MIPS)

Final score

86.7 of 100Reported as group

Quality

63.38

Promoting interoperability

99

Improvement activities

40

Cost

76.44

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.kim@hca7.eclinicaldirectplus.com

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.

• Texas Trauma Medical Group, PLLC

  • Trauma Surgery Physician
  • El Paso, TX
  • NPI 1962144618
  Medicare reassignment Care Compare group NPD
• Surgery Associates of NTX, PLLC

  • Surgery Physician
  • Denton, TX
  • NPI 1134522691
  Medicare reassignment NPD
• Surgery Associates of North Texas P a

  • Vascular Surgery Physician
  • Denton, TX
  • NPI 1255355715
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of McKinney Subsidiary LP

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1366646143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "972-608-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "972-608-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELIZABETH",
        "middle_name": "CARROLL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N5157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "N5157",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0022849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PITTS",
            "middle_name": "CARROLL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Juhun Kim, M.D.
• Daniel W Kim, M.D.
• David Hyon Kim, MD
• Debbie Kim
• Elaine I. Kim, MSN-FNP
• Jeff Kim
• Kara Hwakyong Kim, D.D.S.
• Kristin Joo Eun Kim, FNP-C
• Nancy Y Kim, M.D.
• Phil Joe Kim, DDS

• Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.

Verify at the official NPI Registry.