Individual provider Active NPI

Hyun Ah Kim

  • Neurology Physician
  • Lubbock, TX
National Provider Identifier
1902761315
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
49005 Issued in TX
Practice address
3601 4TH St Ste 3A105
Neurology Department
Lubbock, TX 79430-0002
Phone
(806) 743-2391
Fax
(806) 743-5687
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 49005 TX Primary

Addresses

Primary practice location

3601 4TH St Ste 3A105
Neurology Department
Lubbock, TX 79430-0002

Mailing address

37, Hyoseongjungang-Gil, Nam-Gu
105/1103
Daegu, OTHER 42514
KR

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
I20260312001629 TX Practitioner - Neurology 8527541085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3601 4TH St
Suite 3A105
Lubbock, TX 79430-8321
Phone (806) 743-2391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49005TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 23, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Neurology CurrentSince Feb 23, 2026 Accepting new patients

Locations

3601 4th St
Ste 3A105
Lubbock, TX 79430
Phone (806) 743-2391

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

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.

Hospital & facility affiliations 5

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": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1902761315",
    "addresses": [
        {
            "country_code": "KR",
            "country_name": "Korea, Republic of",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "37, HYOSEONGJUNGANG-GIL, NAM-GU",
            "address_2": "105/1103",
            "city": "DAEGU",
            "state": "OTHER",
            "postal_code": "42514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STE 3A105",
            "address_2": "NEUROLOGY DEPARTMENT",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2391",
            "fax_number": "806-743-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUN AH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "49005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.