Individual provider Active NPI

Yun Woong Kim, M.D., P.A.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1730404138
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4470 Issued in TX
Practice address
11207 N Lamar Blvd Ste B
Austin, TX 78753-3056
Phone
(512) 649-2195
Fax
(512) 814-0726
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4470 TX Primary

Addresses

Primary practice location

11207 N Lamar Blvd Ste B
Austin, TX 78753-3056

Mailing address

125 S Clark St Ste 900
Chicago, IL 60603-4043
Phone (512) 988-5355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yun.kim.1@13711.direct.athenahealth.com

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
I20130715000305 TX Practitioner - General PracticePractitioner - Family Practice 5799925806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

Hospital & facility affiliations

  • Trinity Hospice Hospice, San Antonio, TX, CCN 741591
  • Tranquility Hospice Care Inc Hospice, Georgetown, TX, CCN 741722
  • Kindful Health Hospice, Plano, TX, CCN 741655
  • Profound Hospice Care, LLC Hospice, Round Rock, TX, CCN A91766
  • Valerian Home Health and Hospice Hospice, Round Rock, TX, CCN 741521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4470TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medical Home Care PLLC Family Medicine CurrentSince Jul 19, 2018 Accepting new patients
Harbor Health Medical Group Family Medicine CurrentSince May 1, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Medicine Past Accepting new patients

Locations

3200 Red River St
Ste 210
Austin, TX 78705
Phone (512) 472-3161

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

11207 N Lamar Blvd
Ste B
Austin, TX 78753
Phone (512) 649-2195

4879 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (402) 802-9157

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

1000 Heritage Center Cir
Round Rock, TX 78664
Phone (512) 608-4054

8901 Emmett F Lowry Expy
Ste A
Texas City, TX 77591
Phone (281) 559-1121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yun.kim.1@13711.direct.athenahealth.com
  • Direct secure messaging: yun.kim.1@28292.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valerian Home Health and Hospice LLCRound Rock, TX, CCN 741521 Hospice Contracted Managing Employee Jun 13, 2018
Tranquility Hospice Care, IncGeorgetown, TX, CCN 741722 Hospice W-2 Managing Employee Apr 16, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1730404138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "512-988-5355",
            "fax_number": "512-814-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-649-2195",
            "fax_number": "512-814-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUN",
        "middle_name": "WOONG",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yun.kim.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "11207 N LaMar Blvd Ste B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787533056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.