Individual provider Active NPI

Elizabeth Megas Kim, M.D.

  • Anesthesiology Physician
  • Bryn Mawr, PA
National Provider Identifier
1932594751
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD467970 Issued in PA
Practice address
729 Rugby Rd
Bryn Mawr, PA 19010-3832
Phone
(703) 615-2580
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD467970 PA Primary

Addresses

Primary practice location

729 Rugby Rd
Bryn Mawr, PA 19010-3832

Mailing address

1215 Lee St
Dept of Anesthesia
Charlottesville, VA 22908-0816
Phone (434) 924-0211

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
I20220711001063 TX Practitioner - Anesthesiology 8123315405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Texas Anesthesia Consultants PLLCGroup PAC ID 2163857251, 19 clinicians

Practice addresses (Care Compare)

400 Chisholm PL
Suite 114
Plano, TX 75075-6957
Phone (972) 588-4541

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jan 13, 2023 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Vertex Anesthesia, PLLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

17950 Preston Rd
Ste 75
Dallas, TX 75252
Phone (972) 267-5400

1001 York Dr
Desoto, TX 75115
Phone (469) 313-0040

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

5575 Frisco Square Blvd
Ste 100
Frisco, TX 75034
Phone (817) 233-1016

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Interoperability endpoints

  • Direct secure messaging: elizabeth.kim.1@13131.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1932594751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 RUGBY RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103832",
            "telephone_number": "703-615-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELIZABETH",
        "middle_name": "MEGAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD467970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.