Individual provider Active NPI

Ryan Sangwoo Kim, MD

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1497384341
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
V1807 Issued in TX
Practice address
3425 Grande Bulevar Blvd
Irving, TX 75062
Phone
(972) 639-5836
Fax
(469) 499-3937
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X V1807 TX Primary

Addresses

Primary practice location

3425 Grande Bulevar Blvd
Irving, TX 75062

Mailing address

3425 Grande Bulevar Blvd
Irving, TX 75062
Phone (972) 639-5836

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
I20240807004373 TX Practitioner - Ophthalmology 3577000512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3425 Grande Bulevar
Irving, TX 75062-5108
Phone (972) 639-5836

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V1807TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kudo Care Eye Center PLLC Ophthalmology CurrentSince Jan 12, 2026 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Kudo Care Optometry PLLC Ophthalmology CurrentSince Jan 31, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Good Rams Partners LP PastSince Jun 23, 2024 Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

3425 Grande Bulevar
Irving, TX 75062
Phone (469) 463-3115

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: ryan.kim.p1@direct.totaleyecaretexas.nextgenshare.com
  • Direct secure messaging: ryan.sangwoo.kim.1@12556.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1497384341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-639-5836",
            "fax_number": "469-499-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-639-5836",
            "fax_number": "469-499-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RYAN",
        "middle_name": "SANGWOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "V1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.