DR. YOUNG IL KIM MD NPI 1134216831

NPI Information

NPI: 1134216831
Provider Name: DR. YOUNG IL KIM, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
12121 RICHMOND AV
SUITE 101
HOUSTON, TX
ZIP 77082
Phone: (713) 270-7200
Get Directions

DR. Young Il Kim, MD is a cardiovascular disease internal medicine in Houston, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Young Il Kim, MD NPI is 1134216831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12121 RICHMOND AV
SUITE 101
HOUSTON, TX
ZIP 77082
Phone: (713) 270-7200
Fax: (281) 584-9240

The NPI 1134216831 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		E4876	TEXAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	E4876	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09837102	MEDICAID	TEXAS
2	00MN90	MEDICARE PIN	TEXAS
3	44358	OTHER	TEXAS	AMERIGROUP
4	0525751	OTHER	TEXAS	AETNA
5	C17865	MEDICARE UPIN
6	74212020277082	OTHER		TRICARE CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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