Active NPI
Gyu W Kim, MD
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1487689832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F0233
- Practice address
- 6322 Airline Dr
Houston, TX 77076 - Phone
- (713) 694-7770
- Fax
- (713) 697-5227
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | F0233 | TX | Primary |
Addresses
Primary practice location
6322 Airline Dr
Houston, TX 77076
Mailing address
6322 Airline Dr
Houston, TX 77076
Phone (713) 694-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137926506 | Medicaid | TX | |
| 137926510 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0233 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1487689832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6322 AIRLINE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77076",
"telephone_number": "713-694-7770",
"fax_number": "713-697-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6322 AIRLINE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77076",
"telephone_number": "713-694-7770",
"fax_number": "713-697-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GYU",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F0233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137926506",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137926510",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.