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DR. HYE TAE KIM MD
NPI 1053331470
Family Medicine in El Paso, TX

Active since July 20, 2006PECOS Enrolled
1387 GEORGE DIETER DR BLDG B, EL PASO, TX 79936(915) 275-0224(915) 275-0225 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Hye Tae Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HYE TAE KIM MD (NPI 1053331470) is an individual family medicine provider in El Paso, Texas, licensed in Texas (K1852) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053331470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HYE TAE KIMCredential: MD
Location Address1387 GEORGE DIETER DR BLDG BEl Paso, TX 79936-7410
Mailing Address1157 E 42nd StOdessa, TX 79762-7723 · (432) 550-5300 · Fax (432) 366-7100
Phone(915) 275-0224
Fax(915) 275-0225
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1053331470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K1852
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1387 GEORGE DIETER DR BLDG B, El Paso, TX 79936
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Other Identifiers 3

Other0017JKTX · Bcbs Of Texas
OtherK1852TX · License
Medicaid1581746901TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hye Tae Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hye Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
559 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Nevada enrollment
  • 206 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79936 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANABEL LOPEZ-CORONADO MD
Internal Medicine
1387 GEORGE DIETER DR BLDG B
EL PASO, TX 79936
El Paso County (915) 275-0224
DR. MANUEL J PALAFOX DO
Internal Medicine
1387 GEORGE DIETER DR BLDG B
EL PASO, TX 79936
El Paso County (915) 275-0224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hye Kim's NPI number?

The NPI number for Hye Kim is 1053331470. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Hye Kim located?

Hye Kim practices at 1387 George Dieter Dr Bldg B, El Paso, TX 79936. The listed phone number is (915) 275-0224.

What is Hye Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hye Kim enrolled in Medicare?

Yes. Hye Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hye Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hye Kim reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hye Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hye Kim was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.