NPIMap

Individual provider Active NPI

Woan Sang Kim, DO

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1649732520
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6284 Issued in TX
Practice address
331 Melrose Dr Ste 220
Richardson, TX 75080-4773
Phone
(469) 828-1903
NPI assigned
Apr 1, 2019
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58.030627 OH
Internal Medicine Physician 207R00000X T6284 TX Primary

Addresses

Primary practice location

331 Melrose Dr Ste 220
Richardson, TX 75080-4773

Mailing address

331 Melrose Dr Ste 220
Richardson, TX 75080-4773

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
I20220824001490 TX Practitioner - Internal MedicinePractitioner - Hospitalist 7618210337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians Management LLCGroup PAC ID 1153762315, 5 clinicians
Hospitalist Internists Associates, PLLCGroup PAC ID 7113817404, 11 clinicians

Practice addresses (Care Compare)

1351 W President George Bush Hwy
Richardson, TX 75080-1133
Phone (469) 910-8800

331 Melrose Dr
Suite 220
Richardson, TX 75080-4773
Phone (469) 828-1903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.030627OHMDInternal Medicine Physician
T6284TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Internists Associates, PLLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Hospitalist Physicians Management LLC Internal Medicine CurrentSince Nov 15, 2025 Accepting new patients
Texas Heart Hospital of the Southwest, LLC Past Accepting new patients

Locations

275 W Campbell Rd
Ste 260
Richardson, TX 75080

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

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 5

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1649732520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804773",
            "telephone_number": "469-828-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WOAN",
        "middle_name": "SANG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.030627",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.