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CASSIE KIM
NPI 1811780828
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since May 23, 2025PECOS Enrolled
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 23, 2025 (2 updates tracked since 2025).

About Cassie Kim NPPES

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

CASSIE KIM (NPI 1811780828) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811780828
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASSIE KIM
Location AddressUNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271Tyler, TX 75708
Mailing AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.s. Hwy. 271Tyler, TX 75708
Phone(903) 877-7200
Sole ProprietorNo
Enumeration DateMay 23, 2025
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1811780828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, Tyler, TX 75708
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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 (PECOS)

Cassie Kim 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.

Other Providers at the Same Location NPPES 13

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

JEFFREY KEITH DAVIS DO
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
COSMAS ONYEDIKA IHEZIE MD, CSFA
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. JOSH MATTHEWS MBBS
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
NISHA SANJAY KOLHE MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. GRACE OPOKU KENNEY DO
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
RACHEL POOTHAKARY
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. KAREEM SADEK M.B.B.CH.
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200
JESSICA HOESCHELE
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271
TYLER, TX 75708
Smith County (903) 877-7200

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 Cassie Kim's NPI number?

The NPI number for Cassie Kim is 1811780828. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Cassie Kim located?

Cassie Kim practices at University Of Texas Health Science Center At Tyler 11937 U.S. Hwy. 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.

What is Cassie Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cassie Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cassie Kim was last updated on June 4, 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.