Stephen Alan Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M5796 Issued in TX

Practice address

3140 Legacy Dr Ste 720
Frisco, TX 75034-7917

Phone

(972) 292-0256

Fax

(972) 403-9198

NPI assigned

Jul 20, 2006

Sex

Male

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

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

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• One 2 Wellness

  • Primary Care Clinic/Center
  • Frisco, TX
  • NPI 1043821960
  NPD
• Advanced Pain & Rehabilitation Association PLLC

  • Physical Medicine & Rehabilitation Physician
  • Wylie, TX
  • NPI 1215404637
  NPD (past)
• Medhealth

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1558762690
  NPD (past)
• Premise Health of Texas Medical PA

  • Primary Care Clinic/Center
  • Plano, TX
  • NPI 1477812543
  NPD (past)
• Richardson Physician Alliance

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1144277542

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1376563403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 PRESTON RD",
            "address_2": "BE WELL HEALTH CENTER",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242302",
            "telephone_number": "972-403-6000",
            "fax_number": "972-403-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 720",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347917",
            "telephone_number": "972-292-0256",
            "fax_number": "972-403-9198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7933 Preston Rd",
            "address_2": "Be Well Health Center",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242302",
            "country_code": "US",
            "telephone_number": "972-403-6000",
            "fax_number": "972-403-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191712201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00453506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hong Kim
• Kyeong Hwan Kim, DMD
• Mee Ok Kim, D.C., FNP-C
• Nuri Kim, D.D.S.
• Si-on Kim, OD
• Sun Ho Kim, DMD
• Maggie Kimani, RN
• Kendyl Kimbler, PA-C
• Kinetix Health, LLC
• King George'S Home Healthcare Services LLC

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.