SOO HYUN KIM (M.D) – Anesthesiology Physician, NPI 1821225400

SOO HYUN KIM (M.D) is a healthcare provider. based in Dallas, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D. They hold a License No. P5398 (TX). The NPI Number for SOO HYUN KIM (M.D) is 1821225400

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SOO HYUN KIM (M.D)
NPI
1821225400
Phone
(972) 233-1999
Address
PO BOX 650865
Enumeration Date
22 June 2009
Last Update Date
28 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2143850865
Graduation Year
2009 (17 years ago)
PAC ID
8527292671
Group Practice PAC ID
5193228880
Professional Enrollment ID
I20131004000102
Address ID
TX760343548CO4905XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for SOO HYUN KIM (M.D)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650865

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 1500, Citywest Boulevard, Houston, Harris County, Texas, 77042, United States

    STE. 300

    HOUSTON, TX 770422300

    Phone: (713) 620-4000

    Fax: (713) 458-4229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-10-04

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
I20131004000102IAnesthesiologyTXTBD

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 75265)

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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: 5193228880View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AR
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify SOO HYUN KIM (M.D) with an NPI only?
You can start verification with NPI 1821225400 for SOO HYUN KIM (M.D), then check state licensing separately.
Is SOO HYUN KIM (M.D) still practicing?
SOO HYUN KIM (M.D) is currently listed as active in the public NPI registry.
What is SOO HYUN KIM (M.D)'s primary classification?
Anesthesiology Physician is the headline specialty for SOO HYUN KIM (M.D) here. Clinical services aligned with this taxonomy classification.
Where should I expect SOO HYUN KIM (M.D) on a map?
Expect Dallas, Texas as a primary anchor for SOO HYUN KIM (M.D) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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