Individual provider Active NPI

Phillip Kim, MD

  • Urology Physician
  • Edinburg, TX
National Provider Identifier
1649775313
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
V3351 Issued in TX
Practice address
4302 S Sugar Rd Ste 201
Edinburg, TX 78539-9140
Phone
(956) 452-1643
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X V3351 TX Primary

Addresses

Primary practice location

4302 S Sugar Rd Ste 201
Edinburg, TX 78539-9140

Mailing address

4302 S Sugar Rd Ste 201
Edinburg, TX 78539-9140
Phone (956) 452-1643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230420000484 MA Practitioner - Urology 7214392521 Reassigns benefits to 1 organization
I20250224001328 TX Practitioner - Urology 7214392521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhize Urology PLLCGroup PAC ID 8921528779, 2 clinicians

Practice addresses (Care Compare)

4302 S Sugar Rd
Suite 201
Edinburg, TX 78539-9140
Phone (956) 388-2218

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rhize Urology PLLC Urology CurrentSince Jan 15, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 1, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Urology CurrentSince Apr 1, 2023 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

247 Station Dr
Ste NW1
Westwood, MA 02090
Phone (617) 754-1015

4302 S Sugar Rd
Ste 201
Edinburg, TX 78539
Phone (956) 277-1541

Interoperability endpoints

  • Direct secure messaging: pkim253344@direct.bilh.masshiway.net

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 and National Provider Directory roles.

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1649775313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 201",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-452-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 201",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-452-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "V3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.