Individual provider Active NPI

Joanne Yang-Sun Kim, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1922048644
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J4264 Issued in TX
Practice address
902 Frostwood Dr Ste 143
Houston, TX 77024-2433
Phone
(713) 461-8491
Fax
(713) 461-6118
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 J4264 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 143
Houston, TX 77024-2433

Mailing address

925 Gessner
Suite 480
Houston, TX 77024-2301
Phone (713) 467-8491

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
I20110125000668 TX Practitioner - Neurology 3173702008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 143
Houston, TX 77024-2433
Phone (713) 467-8491

Hospital & facility affiliations

  • Home Health Professionals Home health agency, Houston, TX, CCN 679660
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Neurology Clinic of Houston PA Neurology CurrentSince Sep 1, 1998 Accepting new patients
Dr Minh Ho MD PA PastSince Sep 1, 1998 Accepting new patients

Locations

902 Frostwood Dr
Ste 143
Houston, TX 77024
Phone (713) 467-4382

925 Gessner Rd
Ste 480
Houston, TX 77024
Phone (713) 338-7226

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1922048644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 GESSNER",
            "address_2": "SUITE 480",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-467-8491",
            "fax_number": "713-461-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 143",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242433",
            "telephone_number": "713-461-8491",
            "fax_number": "713-461-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOANNE",
        "middle_name": "YANG-SUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.