DR. REBECCA NONESUPPLIED KIM MD
NPI 1467656033
Pediatrics in Kyle, TX

Q: What is Rebecca Kim's NPI number?

The NPI number for Rebecca Kim is 1467656033. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Q: What is Rebecca Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rebecca Kim was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment

4100 EVERETT DR STE 400, KYLE, TX 78640(512) 295-1333(512) 406-7327 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2021, Apr 16, 2018 (2 updates tracked since 2018).

On this page

About Dr. Rebecca Nonesupplied Kim Md NPPES

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

DR. REBECCA NONESUPPLIED KIM MD (NPI 1467656033) is an individual pediatrics provider in Kyle, Texas, licensed in Texas (N2600) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lockhart, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2005).

NPPES Registry Identity

NPI1467656033

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. REBECCA NONESUPPLIED KIMCredential: MD

Location Address4100 EVERETT DR STE 400Kyle, TX 78640-6147

Mailing Address6210 E Highway 290Austin, TX 78723-1142 · (512) 483-9596 · Fax (512) 406-6216

Phone(512) 295-1333

Fax(512) 406-7327

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2005

Enumeration DateJune 14, 2007

Last NPPES UpdateMay 21, 20212 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1467656033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · N2600

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.

4100 EVERETT DR STE 400, Kyle, TX 78640

Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 S Colorado St, Suite BLockhart, TX 78644-2700 · Phone (512) 398-2578 · Fax (512) 398-3755

Other Identifiers 3

Medicaid350763403TX

Other3805159053Myutmb 3805159053-commercial Number

Medicaid350763402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Rebecca Nonesupplied 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.

PECOS PAC ID446382329

PECOS Enrollment IDI20100712000309

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 78640 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Leave this field empty

Other Providers at the Same Location NPPES 17

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

MAHESH V THENAPPAN MD

Internal Medicine