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

Active since June 14, 2007PECOS Enrolled
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: October 18, 2026.

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

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 and maintains a secondary practice location in Lockhart.

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
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
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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 Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. 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)

Dr. Rebecca Nonesupplied 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rebecca Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seton Family Of Hospitals
18 mi
Community Health
2811 E 2ND ST
Austin, TX 78702
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ascension Seton
  • 101 clinicians in this Medicare group
NPI 1770593683 (512) 324-6852
Travis County Emergency Physicians PA
21 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Austin Regional Clinic, PA
23 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

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 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.

Other Providers at the Same Location NPPES 16

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

MAHESH V THENAPPAN MD
Internal Medicine
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 504-5186
DR. DAVID COX NEEDHAM M.D.
Pediatrics
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
TERA C BROOKS M.D.
Family Medicine
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
RICKY C MEHTA MD
Internal Medicine (Rheumatology)
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
JULIA BLOOD
Pediatrics
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
LEAH J TREADWELL MD
Family Medicine
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
SHANE CONSTABLE
Family Medicine
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333
WILLIAM MARSHALL MOORE IV
Nurse Practitioner (Family)
4100 EVERETT DR STE 400
KYLE, TX 78640
Hays County (512) 295-1333

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 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.

Where is Rebecca Kim located?

Rebecca Kim practices at 4100 Everett Dr Ste 400, Kyle, TX 78640. The listed phone number is (512) 295-1333.

What is Rebecca Kim's specialty?

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

Is Rebecca Kim enrolled in Medicare?

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

Which organizations bill Medicare for Rebecca Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Kim reassigns Medicare benefits to 3 organizations: Seton Family Of Hospitals (Austin, TX), Travis County Emergency Physicians PA (Austin, TX) and Austin Regional Clinic, PA (Austin, TX). 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 Rebecca Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Kim accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Rebecca 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 Rebecca Kim was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.