Individual provider Active NPI

Angela J. Kim, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bellaire, TX
National Provider Identifier
1437654159
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
V2125 Issued in TX
Practice address
6565 West Loop S Ste 400
Bellaire, TX 77401-3510
Phone
(713) 799-9975
Fax
(713) 799-1095
NPI assigned
Mar 26, 2018
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X R4760 KY
Ophthalmology Physician 207W00000X TP925 KY
Retina Specialist (Ophthalmology) Physician 207WX0107X V2125 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 400
Bellaire, TX 77401-3510

Mailing address

6565 West Loop S Ste 400
Bellaire, TX 77401-3510
Phone (713) 799-9975

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
I20240618003310 TX Practitioner - Ophthalmology 2860720125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous of Texas PLLCGroup PAC ID 7911895511, 9 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Blvd
Suite 218
Conroe, TX 77304-2821
Phone (713) 799-9975

15200 Southwest Fwy
Suite 292
Sugar Land, TX 77478-3865
Phone (713) 779-9975

6565 W Loop S
Suite 400
Bellaire, TX 77401-3510
Phone (713) 799-9975

750 Westgreen Blvd
Suite 250
Katy, TX 77450-2799
Phone (713) 799-9975

920 Clear Lake City Blvd
Suite 200
Webster, TX 77598-6604
Phone (713) 799-9975

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP925KYMDHematology & Oncology Physician
R4760KYMDOphthalmology Physician
V2125TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina and Vitreous of Texas PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology Current Accepting new patients
Coastal Eye Associates PLLC Ophthalmology Current Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

1913 Steele Rd
Alvin, TX 77511
Phone (281) 488-7213

350 Pine St
Ste 330
Beaumont, TX 77701
Phone (409) 951-6179

6565 West Loop S
Ste 400
Bellaire, TX 77401
Phone (713) 589-6879

1205 S Austin St
Brenham, TX 77833
Phone (979) 251-9988

100 Medical Center Blvd
Ste 218
Conroe, TX 77304
Phone (926) 539-2882

19747 Highway 59 N
Ste 320
Humble, TX 77338
Phone (281) 548-0095

750 Westgreen Blvd
Ste 250
Katy, TX 77450

1105 W Frank Ave
Ste 300
Lufkin, TX 75904

2734 Sunrise Blvd
Ste 303
Pearland, TX 77584

15200 Southwest Fwy
Ste 292
Sugar Land, TX 77478
Phone (281) 431-5511

6807 Emmett F Lowry Expy
Ste 102
Texas City, TX 77591
Phone (409) 945-2269

455 School St
Ste 47
Tomball, TX 77375
Phone (281) 351-7483

101 W Goodwin Ave
Ste 430
Victoria, TX 77901

555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213

920 Clear Lake City Blvd
Ste 200
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: akim16813@ukhcdirect.org
  • Direct secure messaging: angela.kim.p1@direct.rak.nextgenshare.com
  • Direct secure messaging: kimmd@retinatexas.emadirect.md

Organizations & group practices 6

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1437654159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013510",
            "telephone_number": "713-799-9975",
            "fax_number": "713-799-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013510",
            "telephone_number": "713-799-9975",
            "fax_number": "713-799-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANGELA",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R4760",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP925",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "V2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.