Individual provider Active NPI

May Kim, M.D.

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1386844744
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9888 Issued in TX
Practice address
1020 Flower Mound Rd Ste 100
Flower Mound, TX 75028-3440
Phone
(972) 410-0042
Fax
(972) 410-0044
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-123322 IL
Family Medicine Physician 207Q00000X P9888 TX Primary

Addresses

Primary practice location

1020 Flower Mound Rd Ste 100
Flower Mound, TX 75028-3440

Mailing address

1020 Flower Mound Rd Ste 100
Flower Mound, TX 75028-3440
Phone (972) 410-0042

Other identifiers 1

IdentifierTypeStateIssuer
036123322MedicaidIL

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
I20150527001980 TX Practitioner - Family Practice 9537200779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Center Vitalehealth, PLLCGroup PAC ID 9931463916, 2 clinicians

Practice addresses (Care Compare)

1020 Flower Mound Rd
Suite 100
Flower Mound, TX 75028-3440
Phone (972) 410-0042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-123322ILMDFamily Medicine Physician
P9888TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Center Vitalehealth PLLC Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
Vitals Family Medicine PLLC Family Medicine Current Accepting new patients

Locations

4217 Marsh Ridge Rd
Ste 110
Carrollton, TX 75010
Phone (972) 307-3456

1020 Flower Mound Rd
Ste 100
Flower Mound, TX 75028
Phone (972) 410-0042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBJCD/Endpoint/EBBJCD
  • Direct secure messaging: may.kim@fcv.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1386844744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-123322",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.