Individual provider Active NPI

David S Kim, MD

  • Infectious Disease Physician
  • Mesquite, TX
National Provider Identifier
1487737714
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K9585 Issued in TX
Practice address
929 N Galloway Ave Ste 220
Mesquite, TX 75149-7413
Phone
(214) 660-2533
Fax
(214) 660-2525
NPI assigned
Oct 23, 2006
Last updated
Sep 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X K9585 TX Primary

Addresses

Primary practice location

929 N Galloway Ave Ste 220
Mesquite, TX 75149-7413

Mailing address

PO Box 851978
Mesquite, TX 75185
Phone (214) 660-2533

Other identifiers 1

IdentifierTypeStateIssuer
1696023-02MedicaidTX

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
I20041123001281 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476518978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 N Galloway Ave
Suite 220
Mesquite, TX 75149-7413
Phone (972) 955-0145

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Regional Infectious Diseases Professional Association Infectious Disease CurrentSince Mar 16, 2015 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Boone Emergency Physicians PLLC Past Accepting new patients

Locations

1200 E Savannah Ave
Ste 4
McAllen, TX 78503
Phone (956) 383-4041

929 N Galloway Ave
Ste 220
Mesquite, TX 75149
Phone (214) 535-7892

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1487737714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851978",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75185",
            "telephone_number": "214-660-2533",
            "fax_number": "214-660-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497413",
            "telephone_number": "214-660-2533",
            "fax_number": "214-660-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K9585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696023-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.