NPIMap

Individual provider Active NPI

Rosa Kim, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1558469460
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L0333 Issued in TX
Practice address
6560 Fannin St
Ste 750
Houston, TX 77030-2727
Phone
(713) 524-3434
Fax
(713) 524-3220
NPI assigned
Sep 21, 2006
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L0333 TX Primary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X L0333 TX

Addresses

Primary practice location

6560 Fannin St
Ste 750
Houston, TX 77030-2727

Mailing address

6560 Fannin St
Ste 750
Houston, TX 77030-2727
Phone (713) 524-3434

Other identifiers 9

IdentifierTypeStateIssuer
1138169MedicaidLA
21017OtherTXSELECTCARE OF TEXAS
10026742OtherTXAMERIVANTAGE
10026742OtherTXAMERIGROUP
8A3190OtherTXBLUE SHIELD
140856902MedicaidTX
G65636OtherTXSTERLING OPTION ONE
140856901MedicaidTX
23747OtherTXOPTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000670 TX Practitioner - Ophthalmology 5698747632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10907 Memorial Hermann Dr
Suite 450
Pearland, TX 77584-4166
Phone (713) 524-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0333TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Sep 1, 2000 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Sep 1, 2000 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients

Locations

4460 Bissonnet St
Ste 200
Bellaire, TX 77401

2620 Highway 36 S
Brenham, TX 77833

10100 Katy Fwy
Ste 100
Houston, TX 77043

10130 Louetta Rd
Ste G
Houston, TX 77070
Phone (281) 440-4089

11460 Space Center Blvd
#2
Houston, TX 77059

11460 Space Center Blvd
Ste 2
Houston, TX 77059

1360 Post Oak Blvd
Ste 800
Houston, TX 77056

6560 Fannin St
Ste 750
Houston, TX 77030
Phone (713) 441-1150

800 Peakwood Dr
Ste 1C
Houston, TX 77090
Phone (281) 587-1987

350 Kingwood Medical Dr
Ste 200
Kingwood, TX 77339

400 Bypass Ln
Ste 105
Livingston, TX 77352
Phone (936) 327-7812

10907 Memorial Hermann Dr
Ste 450
Pearland, TX 77584

6921 Brisbane Ct
Ste 200
Sugar Land, TX 77479
Phone (512) 524-3434

17450 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (713) 563-0050

Interoperability endpoints

  • Direct secure messaging: rkim26255@directhoustonmethodist.org

Organizations & group practices 4

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 10

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1558469460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L0333",
            "primary": true
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "TX",
            "license": "L0333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1138169",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE OF TEXAS",
            "identifier": "21017",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIVANTAGE",
            "identifier": "10026742",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10026742",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8A3190",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140856902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION ONE",
            "identifier": "G65636",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140856901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "23747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.