PHILLIP KIM MD
NPI 1649775313
Urology in Edinburg, TX

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
4302 S SUGAR RD STE 201, EDINBURG, TX 78539(956) 452-1643 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Mar 17, 2023, May 29, 2019 and 2 more (5 updates tracked since 2018).

About Phillip Kim Md NPPES

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

PHILLIP KIM MD (NPI 1649775313) is an individual urology provider in Edinburg, Texas, licensed in Texas (V3351) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649775313
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePHILLIP KIMCredential: MD
Location Address4302 S SUGAR RD STE 201Edinburg, TX 78539-9140
Mailing Address4302 S Sugar Rd Ste 201Edinburg, TX 78539-9140 · (956) 452-1643
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateFebruary 6, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1649775313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · V3351
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4302 S SUGAR RD STE 201, Edinburg, TX 78539

Accepted 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

Phillip 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 ID7214392521
PECOS Enrollment IDI20250224001328
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 5

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

Urology
4302 S SUGAR RD STE 201
EDINBURG, TX 78539
Advanced Practice Midwife
4302 S SUGAR RD STE 201
EDINBURG, TX 78539
Obstetrics & Gynecology (Gynecologic Oncology)
4302 S SUGAR RD STE 201
EDINBURG, TX 78539
Nurse Practitioner (Family)
4302 S SUGAR RD STE 201
EDINBURG, TX 78539
Obstetrics & Gynecology
4302 S SUGAR RD STE 201
EDINBURG, TX 78539

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 Phillip Kim's NPI number?

The NPI number for Phillip Kim is 1649775313. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Phillip Kim located?

Phillip Kim practices at 4302 S Sugar Rd Ste 201, Edinburg, TX 78539. The listed phone number is (956) 452-1643.

What is Phillip Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Phillip Kim enrolled in Medicare?

Yes. Phillip 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.

What insurance does Phillip 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 and 2 other insurers list Phillip 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 Phillip Kim affiliated with any hospitals?

According to CMS data, Phillip Kim is affiliated with Vhs Harlingen Hospital Company LLC, South Texas Health System and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Kim was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.