ELISHABETH KIM
NPI 1245702554
Physician Assistant in Houston, TX

Q: What is Elishabeth Kim's NPI number?

The NPI number for Elishabeth Kim is 1245702554. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Q: What is Elishabeth Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elishabeth Kim was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 2500, HOUSTON, TX 77030(713) 704-4300(713) 704-4355 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Jan 28, 2021, Dec 27, 2018 (3 updates tracked since 2018).

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About Elishabeth Kim NPPES

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

ELISHABETH KIM (NPI 1245702554) is an individual physician assistant in Houston, Texas, licensed in Texas (PA15927) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245702554

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELISHABETH KIM

Location Address6400 FANNIN ST STE 2500Houston, TX 77030-1537

Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303

Phone(713) 704-4300

Fax(713) 704-4355

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 27, 2018

Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1245702554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA15927

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6400 FANNIN ST STE 2500, Houston, TX 77030

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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 and accepts Medicare assignment

Elishabeth Kim 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 ID7012317555

PECOS Enrollment IDI20251002000475

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 20

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

AISHWARYA KOTHARE MD

Student in an Organized Health Care Education/Training Program