SEOBUN KIM NP-C
NPI 1104385343
Nurse Practitioner - Family in Houston, TX

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
2723 SKYVIEW RIDGE CT, HOUSTON, TX 77047(281) 772-0386 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Seobun Kim Np-c NPPES

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

SEOBUN KIM NP-C (NPI 1104385343) is an individual family provider in Houston, Texas, licensed in Texas (AP139338) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Texas Medical School At Houston (2018).

NPPES Registry Identity

NPI1104385343
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSEOBUN KIMCredential: NP-C
Location Address2723 SKYVIEW RIDGE CTHouston, TX 77047-6520
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2018
Enumeration DateMarch 18, 2019
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1104385343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139338
2723 SKYVIEW RIDGE CT, Houston, TX 77047

Secondary Practice Location 1

Location 15820 E Sam Houston Pkwy NHouston, TX 77049-2500 · Phone (713) 442-6000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seobun Kim Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779825526
PECOS Enrollment IDI20190429000558
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 Reassignments

2

Medicare enrollment records show Seobun Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
Urgent Care
6111 N FRY RD
Katy, TX 77449
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group

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 77047 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Seobun Kim's NPI number?

The NPI number for Seobun Kim is 1104385343. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Seobun Kim located?

Seobun Kim practices at 2723 Skyview Ridge Ct, Houston, TX 77047. The listed phone number is (281) 772-0386.

What is Seobun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Seobun Kim enrolled in Medicare?

Yes. Seobun Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Seobun Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seobun Kim reassigns Medicare benefits to 2 organizations: Kelsey-Seybold Medical Group, PLLC (Houston, TX) and Apex Urgent Care Clinic LLC (Katy, TX). Each 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 Seobun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seobun Kim accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Seobun Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seobun Kim was last updated on June 29, 2023. 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.