Tae Y Kim

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS16709 Issued in FL

Practice address

1601 S Dixie Hwy Apt 612C
Pompano Beach, FL 33060-9043

Phone

(305) 497-7036

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Coral Clinic, LLC

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1821967555
  NPD Authorized official
• Cardentey Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Miami Lakes, FL
  • NPI 1881442978
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962906487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S DIXIE HWY UNIT 612C",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609051",
            "telephone_number": "305-497-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S DIXIE HWY APT 612C",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609043",
            "telephone_number": "305-497-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS16709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahab U Kidwai, M.D.
• Kidz Progressive Therapeutic Services
• Elizabeth J Kief
• Kamoi Kiklevich, APRN
• Hyuna Kim, D.M.D
• Kimberly Sands-Kahn DC
• Gina Leslie Kimmey, MS,CCC-SLP
• Rhonda Jean Kincade
• King Circle of Care
• Amanda S King

• General Practice Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.