Cheor Jung Kim, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E2650 Issued in TX

Practice address

509 W Tidwell Rd Ste 250
Houston, TX 77091-4354

Phone

(713) 694-8888

Fax

(713) 694-1818

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ckim@1766.securemail.prognocis.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.

• Fred E Griffiths

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1609821719
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1386671469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD",
            "address_2": "SUITE 502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762951",
            "telephone_number": "713-699-2100",
            "fax_number": "713-699-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914354",
            "telephone_number": "713-694-8888",
            "fax_number": "713-694-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHEOR",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E2650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134170304",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckim@1766.securemail.prognocis.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "509 W Tidwell Rd Ste 250",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770914354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Kim, MA, LPC-ASSOCIATE
• Bumhee Kim, PHARMD
• Caroline Kim, MD
• Charles H Kim, M.D.
• Charlotte Foster Kim, M.D.
• Cherilyn Kim, MD
• Christina Y Kim, M.D.
• Claire H. Kim, D.O.
• Dahye Kim
• Dahyeon Kim

• Neurology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.