DR. SO YEON KIM MD
NPI 1194641795
Radiology - Diagnostic Radiology in Dallas, TX
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, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
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
Dr. So Yeon Kim Md 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.
Medicare Billing Reassignment
Medicare enrollment records show So Yeon Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for So Yeon Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), So Yeon Kim reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (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 So Yeon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does So Yeon Kim accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list So Yeon 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.
Is So Yeon Kim affiliated with any hospitals?
According to CMS data, So Yeon Kim is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
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 4 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.
# Dr. So Yeon Kim, MD · NPI 1194641795
Diagnostic Radiology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 26, 2026.
## Identity
- **NPI:** 1194641795 (Entity type: Individual)
- **Enumerated:** June 26, 2026
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 49039 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6201 HARRY HINES, Dallas, TX 75390-8896
- **Phone:** (214) 648-9570
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Texas Southwestern Medical Center At Dallas (NPI 1043418205, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194641795) · Data from the CMS NPPES public registry.