Skyline Medical PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SKYLINE MEDICAL PLLC

Practice address

200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701

Phone

(512) 777-1211

Fax

(512) 777-1214

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

David Kim, MDNPI 1205194560

Title

Manager

Phone

(512) 777-1211

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Kim, MD

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
  • NPI 1205194560

  Anesthesiology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1760200216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUTTERCUP CREEK BLVD STE 115",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133701",
            "telephone_number": "512-777-1211",
            "fax_number": "512-777-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUTTERCUP CREEK BLVD STE 115",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133701",
            "telephone_number": "512-777-1211",
            "fax_number": "512-777-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-777-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanael Tiapula Sizemore
• Solome Skaff, LPC
• Danielle Buckner Skala, M.ED., BCBA, LBA
• Timothy Ryan Skerrett, OTR / L
• Skylight Spark LLC
• Skyline Pain PLLC
• Kimberlee Marie Slaughter, O.D.
• Sleep Better Austin Treatment PLLC
• SLH Cedar Park, LLC
• Smile in Style PLLC

• Interventional Pain Medicine Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.