ANNIE JUHAE KIM (MD) – Gynecology Physician, NPI 1023404019

ANNIE JUHAE KIM (MD) is a healthcare provider. based in Houston, Texas. specializing in Gynecology Physician. They hold the professional credentials MD. They hold a License No. 299052 (NY). The NPI Number for ANNIE JUHAE KIM (MD) is 1023404019

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANNIE JUHAE KIM (MD)
NPI
1023404019
Phone
(823) 325-7200
Address
6410 FANNIN ST
Enumeration Date
7 April 2015
Last Update Date
21 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7189204321
Graduation Year
2015 (11 years ago)
PAC ID
8820323660
Group Practice PAC ID
3779496021
Professional Enrollment ID
I20190716001265
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for ANNIE JUHAE KIM (MD)

  • 6410 FANNIN ST

    SUITE 350

    HOUSTON, TX 770303000

    Phone: (823) 325-7200

    Fax: (713) 512-2237

    Type: Mailing

  • 1 NORTHSIDE PIERS APT 22H

    BROOKLYN, NY 112493187

    Phone: (646) 798-8212

    Fax: (212) 904-0980

    Type: Mailing

  • 877 PARK AVE

    NEW YORK, NY 100750341

    Phone: (646) 798-8212

    Fax: (212) 904-0980

    Type: Location

  • 90 MAIDEN LN FL 3

    NEW YORK, NY 100384831

    Phone: (646) 290-9560

    Fax: (212) 532-4362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $719.

Total Amount is formed as General ($719) + Research ($0) + Ownership ($0) = $719.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($186).

Total Amount

$719

General + Research + Ownership

Payments

25

Total payment records

General Amount

$719

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190716001265IObstetrics/GynecologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496021View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ANNIE JUHAE KIM (MD) in U.S. healthcare records?
The official identifier for ANNIE JUHAE KIM (MD) is NPI 1023404019.
Is ANNIE JUHAE KIM (MD) still an active registrant?
ANNIE JUHAE KIM (MD) carries an active NPI according to the public dataset.
What area of care is associated with ANNIE JUHAE KIM (MD)?
ANNIE JUHAE KIM (MD)'s record emphasizes Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is ANNIE JUHAE KIM (MD) associated with Houston?
Public fields place ANNIE JUHAE KIM (MD) around Houston, Texas. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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