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Phillip Kim

Physician β€’ Austin, TX

Active NPI 1982351854 Individual Practitioner Male Practitioner
Practice location in NPPES

5900 Balcones Dr Ste 5876
Austin, TX 787314257

Call 2105576813 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5900 Balcones Dr Ste 5876

Austin, TX 787314257

Telephone 2105576813
Organization at the Same NPPES Address or Phone
Max Care Service Llc Facility NPI 1568140861

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-06
Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Secured Medical Transport (VAN)

NUCC Taxonomy Code: 343800000X

A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 06, 2023

Registered at 5900 BALCONES DR STE 5876, AUSTIN, TX 787314257 (Tel: 2105576813)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Secured Medical Transport (VAN)

βœ…
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2022

Registered at 6319 JOHN CHAPMAN, SAN ANTONIO, TX 782405327 (Tel: 2105576813)

πŸ“
Business Mailing Address (Initial Record) March 09, 2022

Registered at 5900 BALCONES DR STE 5876, AUSTIN, TX 787314257 (Tel: 2103317395)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2022

Recorded as PHILLIP KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982351854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: July 06, 2023
Sole Proprietor: Yes

Mailing Address

5900 Balcones Dr Ste 5876

Austin, TX 787314257

Phone: 2103317395

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.