KAY MIN – Student in an Organized Health Care Education/Training Program, NPI 1053992313

KAY MIN is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold a License No. U1968 (TX). The NPI Number for KAY MIN is 1053992313

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KAY MIN
NPI
1053992313
Phone
(214) 648-3111
Address
5323 Harry Hines Blvd
Enumeration Date
19 April 2021
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725969511
Graduation Year
2021 (5 years ago)
PAC ID
1355792441
Group Practice PAC ID
4284074758
Professional Enrollment ID
I20240112003933
Address ID
TX750254002PL8080XPKWY301
Telehealth
Yes

Contacts

Secure Messaging
kay.min.1@30724.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KAY MIN

  • 5323 Harry Hines Blvd

    Dallas, TX 753907201

    Phone: (214) 648-3111

    Type: Location

  • 8080 INDEPENDENCE PKWY

    PLANO, TX 750254000

    Phone: (972) 596-9511

    Type: Location

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone: (214) 648-3111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($29).

Total Amount

$136

General + Research + Ownership

Payments

7

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2024-01-12

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
I20240112003933IFamily PracticeTXTBD

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 75390)

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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: 4284074758View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeNE
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for KAY MIN in U.S. healthcare records?
The official identifier for KAY MIN is NPI 1053992313.
Would KAY MIN appear as active to a payer?
You can treat KAY MIN as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KAY MIN?
KAY MIN's record emphasizes Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What locale is associated with KAY MIN?
Directory geography for KAY MIN centers on Dallas, Texas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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