Active NPI
Claudia Kim, MD
- Emergency Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R3890
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-3431
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R3890 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
500 S. Main St.
Fort Worth, TX 76104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MA
- 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
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 679-3131
340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 943-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
910 Washington St
Dedham, MA 02026
Phone (781) 431-1333
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
480 Pleasant St
Watertown, MA 02472
Phone (617) 272-9045
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000
11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100
11380 Gateway Blvd N
#105108
El Paso, TX 79934
Phone (915) 577-8221
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 11
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1679071690
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Emergency Medicine Physician
- Plainview, TX
- NPI 1760028740
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Urgent Care Clinic/Center
- Dedham, MA
- NPI 1538774443
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1679397913
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1477931491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S. MAIN ST.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CLAUDIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R3890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.