Individual provider Active NPI

Woon Ki Sim, M.D.

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1730130782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
J9810 Issued in TX
Practice address
902 Frostwood Dr
Suite 186
Houston, TX 77024-2420
Phone
(713) 827-9900
Fax
(713) 827-1627
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X J9810 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Suite 186
Houston, TX 77024-2420

Mailing address

902 Frostwood Dr
Suite 186
Houston, TX 77024-2420
Phone (713) 827-9900

Other identifiers 1

IdentifierTypeStateIssuer
104465307MedicaidTX

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
I20050105000762 TX Practitioner - Family PracticePractitioner - Sports Medicine 6002864113 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 186
Houston, TX 77024-2402
Phone (713) 827-9900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9810TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHBBA/Endpoint/EJHBBA
  • Direct secure messaging: woon.sim@pc.eclinicaldirectplus.com

Organizations & group practices 2

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 8

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730130782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 186",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-827-9900",
            "fax_number": "713-827-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 186",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-827-9900",
            "fax_number": "713-827-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "WOON",
        "middle_name": "KI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "J9810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104465307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.