Yong Sik Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M1834 Issued in TX

Practice address

8830 Long Point Rd
105
Houston, TX 77055-3040

Phone

(713) 932-0240

Fax

(713) 932-0250

NPI assigned

May 31, 2005

Last updated

Feb 11, 2014By the provider in NPPES

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 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEFGAA/Endpoint/EEFGAA

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.

• Yong Sik Kim MD PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1578703989
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1679576094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "713-932-0240",
            "fax_number": "713-932-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "713-932-0240",
            "fax_number": "713-932-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONG",
        "middle_name": "SIK",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8S6145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I42588",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176400301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taeck Kim, MD
• Thang Hlei Kim
• Tony Guest Kim, M.D.
• Unie Kim, PHARMD
• Yeo Eun Kim, MD
• Yoo Kon Kim, D.D.S.
• Young Il Kim, MD
• Young Suk Kim, MD
• Karina Kima, AA
• Derek Joseph Kimani, PHARMD

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.