Active NPI
Catherine Lisa Kim, MD
- Anesthesiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- Q4162
- Practice address
- 4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640 - Phone
- (210) 615-1187
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MT198997 | PA | |
| Anesthesiology Physician | 207L00000X | Q4162 | TX | Primary |
Addresses
Primary practice location
4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640
Mailing address
PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Multicare Auburn Medical Center
- Multicare Covington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT198997 | PA | MD | Anesthesiology Physician |
| Q4162 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Independent Physicians Network PLLC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | Accepting new patients |
| South Texas Anesthesia Group PLLC | Anesthesiology | Current | Accepting new patients |
| Rainier Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Allen Anesthesia Associates | Current | Accepting new patients | |
| Parkhill Physician Group, PLLC | Current | Accepting new patients | |
| Pediatric Dentistry of Keller PLLC | Past | Accepting new patients |
Locations
1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646
906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755
2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120
5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065
1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709
4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600
7000 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (972) 300-0215
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355
5330 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 877-8000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584
8706 Fredericksburg Rd
Ste 104
San Antonio, TX 78240
Phone (210) 714-2488
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
-
- Pediatric Anesthesiology Physician
- Plano, TX
- NPI 1689715252
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1427435387
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Pediatric Dentistry
- Keller, TX
- NPI 1750934253
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1477845816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34717",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782654717",
"telephone_number": "210-615-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR",
"address_2": "SUITE 3100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295640",
"telephone_number": "210-615-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CATHERINE",
"middle_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MT198997",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q4162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.