THOMAS KIM (M.D., M.P.H.) – Internal Medicine Physician, NPI 1093756074

THOMAS KIM (M.D., M.P.H.) is a healthcare provider. based in Austin, Texas. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials M.D., M.P.H.. They hold a License No. N5158 (TX). The NPI Number for THOMAS KIM (M.D., M.P.H.) is 1093756074

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS KIM (M.D., M.P.H.)
NPI
1093756074
Phone
(512) 630-2467
Address
4205 EDGEMONT DR
Enumeration Date
9 June 2006
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3035782702
Graduation Year
1998 (28 years ago)
PAC ID
2860412426
Group Practice PAC ID
4789033408
Professional Enrollment ID
I20160404002062
Address ID
TX787560003AU3800XBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,132 PSYCHIATRY in TX

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Provider Addresses for THOMAS KIM (M.D., M.P.H.)

  • 4205, Edgemont Drive, Balcones Park, Austin, Travis County, Texas, 78731, United States

    AUSTIN, TX 787315717

    Phone: (512) 630-2467

    Fax: (844) 873-8643

    Type: Mailing

  • 401, Congress Avenue, Downtown, Austin, Travis County, Texas, 78701, United States

    SUITE 1540

    AUSTIN, TX 787014071

    Phone: (512) 900-6625

    Fax: (844) 873-8643

    Type: Location

  • 4922 SPRING AVE

    DALLAS, TX 752101359

    Phone: (214) 421-7848

    Type: Location

  • 3900 JUNIUS ST STE 300

    DALLAS, TX 752461602

    Phone: (214) 521-5191

    Fax: (844) 873-8643

    Type: Mailing

  • 7535 E HAMPDEN AVE # 407

    DENVER, CO 802314838

    Phone: (303) 578-2702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: AXOGEN ($213).

Total Amount

$327

General + Research + Ownership

Payments

4

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AXOGEN$213
Stryker Corporation$113
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: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160404002062IPsychiatryTXTBD
I20231206004185IPsychiatryCOTBD
I20250718003162IPsychiatryAZTBD

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 78731)

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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: 4789033408View full group profile
NameSpecialtyState
Marriage And Family TherapistFL
Nurse PractitionerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for THOMAS KIM (M.D., M.P.H.)?
The registry entry for THOMAS KIM (M.D., M.P.H.) shows NPI 1093756074.
Is THOMAS KIM (M.D., M.P.H.)'s NPI status active today?
Active status means THOMAS KIM (M.D., M.P.H.)'s NPI record is not deactivated in the public file.
What services align with THOMAS KIM (M.D., M.P.H.)'s listing?
THOMAS KIM (M.D., M.P.H.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to THOMAS KIM (M.D., M.P.H.)?
THOMAS KIM (M.D., M.P.H.) shows a connection to Austin, Texas in registry-derived data.
Why is information missing for THOMAS KIM (M.D., M.P.H.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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