Kevin Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2728 Issued in TX

Practice address

331 Melrose Dr
220
Richardson, TX 75080-4405

Phone

(469) 828-1903

Fax

(469) 374-3851

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Texas Medical School at San Antonio, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.kim.1@15173.direct.athenahealth.com

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.

• Kevin Y Kim MD PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1558497537
  Medicare reassignment NPD Authorized official
• Comprehensive Hospital Care Solutions LLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1427498112
  Medicare reassignment NPD
• Melrose Clinic, PLLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1457897621
  Medicare reassignment NPD
• MD on Call PA

  • Hospitalist Physician
  • Frisco, TX
  • NPI 1144268186

  Internal Medicine

  NPD (past)
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Internal Medicine

  NPD (past)
• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  NPD (past)

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

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1669480828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "469-828-1903",
            "fax_number": "469-374-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "469-828-1903",
            "fax_number": "469-374-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040413902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koyt Kifer, LPC, LCDC
• Neeraja Kikkeri, D.D.S.
• Karyn Kilroy, CCC SLP
• Janet Kim-Way
• Jinsoo Kim, DDS
• Mitchell Kim, D.D.S.
• Tae H Kim, DDS
• Woan Sang Kim, DO
• Yoori Kim, D.D.S
• David Dee Kinard, CNS

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.