Individual provider Active NPI

Noah Kim, D.O.

  • Ophthalmology Physician
  • El Paso, TX
National Provider Identifier
1700170784
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S3542 Issued in TX
Practice address
5005 N Piedras St
El Paso, TX 79920
Phone
(915) 261-7011
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X S3542 TX Primary

Addresses

Primary practice location

5005 N Piedras St
El Paso, TX 79920

Mailing address

5005 N Piedras St
El Paso, TX 79920

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191206000450 TX Practitioner - Ophthalmology 3274840400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye and Ocular Surface Center of Texas LLCGroup PAC ID 5294958757, 6 clinicians

Practice addresses (Care Compare)

600 N Laurel St
Cornea and Cataract Specialty Center
El Paso, TX 79903-3402
Phone (915) 261-7011

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Quality
99.82
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3542TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye & Ocular Surface Center of Texas LLC Ophthalmology CurrentSince Dec 1, 2019 Accepting new patients
Complete Surgery of El Paso LLC PastSince Dec 1, 2019 Accepting new patients
Surgical Center of Excellence LLC PastSince Sep 8, 2024 Accepting new patients

Locations

600 N Laurel St
El Paso, TX 79903
Phone (915) 261-7011

2900 Pershing Dr
Ste A
El Paso, TX 79903
Phone (915) 261-7011

3235 Trawood Dr
El Paso, TX 79936
Phone (915) 261-7011

5662 N Mesa St
El Paso, TX 79912
Phone (915) 261-7011

Interoperability endpoints

  • Direct secure messaging: noah.kim@direct.myhealthep.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1700170784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-261-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-01-15",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S3542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.