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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. SO YEON KIM MD
NPI 1194641795
Radiology - Diagnostic Radiology in Dallas, TX

Active since June 26, 2026PECOS Enrolled
6201 HARRY HINES, DALLAS, TX 75390(214) 648-9570 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. So Yeon Kim Md NPPES

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

DR. SO YEON KIM MD (NPI 1194641795) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (49039) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194641795
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SO YEON KIMCredential: MD
Location Address6201 HARRY HINESDallas, TX 75390-8896
Mailing AddressPo Box 845347Dallas, TX 75284-5347
Phone(214) 648-9570
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1194641795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · 49039
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6201 HARRY HINES, Dallas, TX 75390
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. So Yeon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 So Yeon Kim's NPI number?

The NPI number for So Yeon Kim is 1194641795. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is So Yeon Kim located?

So Yeon Kim practices at 6201 Harry Hines, Dallas, TX 75390. The listed phone number is (214) 648-9570.

What is So Yeon Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is So Yeon Kim enrolled in Medicare?

Yes. So Yeon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for So Yeon Kim was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.