Ue Jin Kim, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

S0313 Issued in TX

Practice address

12030 Bandera Rd Ste 108B
Helotes, TX 78023-4736

Phone

(830) 271-9063

NPI assigned

Apr 2, 2015

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2024 through Mar 26, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: uekim@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1982099305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 BANDERA RD STE 108B",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234736",
            "telephone_number": "830-271-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 BANDERA RD STE 108B",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234736",
            "telephone_number": "830-271-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "UE JIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S0313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "S0313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malathy Kannan, O.D.
• Deborah R. Keepers, DDS
• Kiana Kelly
• Deborah Kenney, LMT
• Saira Khan
• Kinematic Concepts Physical Therapy & Sports Rehab (Momentum Physical Therapy & Sports Rehab)
• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC (Momentum Physical Therapy & Sports Rehab, PLLC)
• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC (Momentum Physical Therapy & Sports Rehab)
• Olatunde Klementi, PHARMD
• Trinity Alicia Kroll

• Psychiatry Physician in Helotes, TX
• Providers in Helotes, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.