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DR. ANDREW ROBERT KIM M.D.
NPI 1124210109
Psychiatry & Neurology - Psychiatry in Fort Worth, TX

Active since August 14, 2007PECOS Enrolled
1315 S ADAMS ST, FORT WORTH, TX 76104(833) 484-6359 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andrew Robert Kim M.d. NPPES

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

DR. ANDREW ROBERT KIM M.D. (NPI 1124210109) is an individual psychiatry provider in Fort Worth, Texas, licensed in Illinois (036-129834) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124210109
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ANDREW ROBERT KIMCredential: M.D.
Location Address1315 S ADAMS STFort Worth, TX 76104-4404
Mailing Address1315 S Adams StFort Worth, TX 76104-4404 · (833) 484-6359 · Fax (888) 648-0177
Phone(833) 484-6359
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1124210109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036-129834✔ Licensed in MA · 233008
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1315 S ADAMS ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Robert Kim M.d. 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 Reassignments

2

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

Telehealth Physician Network, PLLC
Same address
Professional
1315 S ADAMS ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1043917719 (833) 484-6359
Telehealth Physician Network, PLLC
984 mi
Psychiatry
2900 WEST RD STE 500
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1790482461 (833) 484-6359

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 76104 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
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 15

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

TELEHEALTH PHYSICIAN NETWORK, PLLC
Counselor (Professional)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
SARA MARIA SEMBORSKI LCSW
Social Worker (Clinical)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (570) 204-6048
LAUREN NICOLE SPRADLING LPC-A
Counselor
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
MARIBEL TORRES ARMENTA
Counselor (Mental Health)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
SHANELLE DENOR HIGHSMITH
Social Worker (Clinical)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
LUKE WALLACE CARSON M.D.
Psychiatry & Neurology (Psychiatry)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
MRS. VENUS TOMBAKOGLU
Counselor (Mental Health)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359
SARAH SLAUGHTER
Counselor (Mental Health)
1315 S ADAMS ST
FORT WORTH, TX 76104
Tarrant County (833) 484-6359

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 Andrew Kim's NPI number?

The NPI number for Andrew Kim is 1124210109. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Andrew Kim located?

Andrew Kim practices at 1315 S Adams St, Fort Worth, TX 76104. The listed phone number is (833) 484-6359.

What is Andrew Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Andrew Kim enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kim reassigns Medicare benefits to 2 organizations: Telehealth Physician Network, PLLC (Fort Worth, TX) and Telehealth Physician Network, PLLC (East Lansing, MI). 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 Andrew Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Kim accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare and 1 other insurer list Andrew 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 Andrew Kim was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.