Jonathan T Kim, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

N5777 Issued in TX

Practice address

1331 W Grand Pkwy N Ste 235
Katy, TX 77493-2710

Phone

(346) 510-4800

Fax

(346) 241-4540

NPI assigned

Jun 11, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Aspire Fertility Institute Houston

  • Reproductive Endocrinology Physician
  • Houston, TX
  • NPI 1922480482
  NPD (past)
• Center of Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Webster, TX
  • NPI 1912916511
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1740483288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 235",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932710",
            "telephone_number": "346-510-4800",
            "fax_number": "346-241-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 235",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932710",
            "telephone_number": "346-510-4800",
            "fax_number": "346-241-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "N5777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "N5777",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Nsum Kiffa
• Amy Marie Kiley, PHARMD
• Andrew Kim
• Edward S Kim, DDS
• Jaibum Kim, DDS, MS
• Samuel Young Kim, M.D.
• Sejoon Sean Kim, D.D.S. M.D.
• Seri Kim, CNA
• Tae Kyong Kim, DC
• Woihwan Kim, MD

• Reproductive Endocrinology Physician in Katy, TX
• Providers in Katy, TX by specialty
• Reproductive Endocrinology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.