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SUJEONG KIM
NPI 1265920839
Pediatrics in Pflugerville, TX

Active since April 28, 2018PECOS Enrolled
15803 WINDERMERE DR STE 103, PFLUGERVILLE, TX 78660(512) 989-2680 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2022, Nov 3, 2021, Apr 28, 2018 (3 updates tracked since 2018).

About Sujeong Kim NPPES

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

SUJEONG KIM (NPI 1265920839) is an individual pediatrics provider in Pflugerville, Texas, licensed in Texas (V6974) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2018).

NPPES Registry Identity

NPI1265920839
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUJEONG KIM
Location Address15803 WINDERMERE DR STE 103Pflugerville, TX 78660-2482
Mailing Address6210 E Hwy 290Austin, TX 78723-1142 · (512) 483-9596
Phone(512) 989-2680
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1265920839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · V6974✔ Licensed in NY · 309869
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15803 WINDERMERE DR STE 103, Pflugerville, TX 78660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit 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)

Sujeong Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678810819
PECOS Enrollment IDI20251021004702
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 Sujeong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Regional Clinic, PA
9.2 mi
Family Medicine
6210 E US HWY 290, SUITE 420 - CREDENTIALING
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • 461 clinicians in this Medicare group
NPI 1821157579 (512) 231-5516
New York University
1,100 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 78660 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES 6

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

HECTOR SANCHEZ MD
Internal Medicine
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680
MRS. REJANI MARY THOMAS FNP
Nurse Practitioner (Family)
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680
SHIRIN MARY PRIYA NAIDU M.D
Family Medicine
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680
AUSTIN REGIONAL CLINIC, PA
Durable Medical Equipment & Medical Supplies
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680
MRS. RAMLA ALI M.D.
Pediatrics
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680
MADHURI MADABHUSHI M.D.
Family Medicine
15803 WINDERMERE DR STE 103
PFLUGERVILLE, TX 78660
Travis County (512) 989-2680

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 Sujeong Kim's NPI number?

The NPI number for Sujeong Kim is 1265920839. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Sujeong Kim located?

Sujeong Kim practices at 15803 Windermere Dr Ste 103, Pflugerville, TX 78660. The listed phone number is (512) 989-2680.

What is Sujeong Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sujeong Kim enrolled in Medicare?

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

Which organizations bill Medicare for Sujeong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujeong Kim reassigns Medicare benefits to 2 organizations: Austin Regional Clinic, PA (Austin, TX) and New York University (Boynton Beach, FL). 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 Sujeong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujeong Kim accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Sujeong 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 Sujeong Kim was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.