Individual provider Active NPI

Benjamin Kum, D.O.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1366887846
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V0450 Issued in TX
Practice address
17980 Dallas Pkwy Ste 300
Dallas, TX 75287-6817
Phone
(737) 252-3505
Fax
(212) 812-0832
NPI assigned
May 9, 2013
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 287966 NY
Family Medicine Physician 207Q00000X V0450 TX Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X V0450 TX

Addresses

Primary practice location

17980 Dallas Pkwy Ste 300
Dallas, TX 75287-6817

Mailing address

2407 S Congress Ave Ste E
Austin, TX 78704-5500
Phone (737) 252-3505

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003915 TX Practitioner - Psychiatry 8325313034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Texas PLLCGroup PAC ID 0446747364, 5 clinicians

Practice addresses (Care Compare)

17980 Dallas Pkwy
Suite 300
Dallas, TX 75287-6817
Phone (737) 252-3505

5151 Maple Ave
Dallas, TX 75235-8136
Phone 21426633338136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287966NYMDFamily Medicine Physician
V0450TXMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 7, 2024 Accepting new patients
Medical Services of Texas PLLC CurrentSince Feb 3, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 7, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

2407 S Congress Ave
Ste E
Austin, TX 78704

17980 Dallas Pkwy
Ste 300
Dallas, TX 75287
Phone (214) 378-7200

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-3333

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: bkum128124@direct-guthrie.org
  • Direct secure messaging: bkum149917@direct.geisinger.edu

Organizations & group practices 5

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1366887846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE STE E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045500",
            "telephone_number": "737-252-3505",
            "fax_number": "212-812-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17980 DALLAS PKWY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876817",
            "telephone_number": "737-252-3505",
            "fax_number": "212-812-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUM",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "287966",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V0450",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TX",
            "license": "V0450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.