Joseph M Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q0085 Issued in TX

Practice address

1020 Flower Mound Rd Ste 100
Flower Mound, TX 75028-3440

Phone

(972) 410-0042

Fax

(972) 410-0044

NPI assigned

Jul 23, 2007

Reactivated

Dec 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Center Vitalehealth, PLLCGroup PAC ID 9931463916, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: josephkim@vitalehealth.kareodirect.com
• Direct secure messaging: joseph.kim@fcv.eclinicaldirectplus.com

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.

• Family Center Vitalehealth PLLC

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1174025746
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1992905376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 Marsh Ridge Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104416",
            "country_code": "US",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "deactivation_date": "2022-12-04",
        "reactivation_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-125975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanketh Kichena, DO
• Kathlyn Kight, MD
• Christopher Jinwoo Kim, DPT
• Jason Kim, LPC
• Jin Kim, D.C.
• Kyung Ha Kim, DDS
• May Kim, M.D.
• Stephen Hojong Kim, D.D.S., M.S.
• Sunghee Kim
• Timothy Kim

• Family Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.