DR. TAE KYONG KIM DC
NPI 1831603067
Chiropractor in Katy, TX
About Dr. Tae Kyong Kim Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAE KYONG KIM DC (NPI 1831603067) is an individual chiropractor in Katy, Texas, licensed in Texas (13459) and active in the NPI registry since November 2017. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tae Kyong Kim Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Tae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Katy, TX 77494
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tae Kim's NPI number?
The NPI number for Tae Kim is 1831603067. It was assigned to this individual provider in the NPPES registry on November 27, 2017.
Where is Tae Kim located?
Tae Kim practices at 25807 Westheimer Pkwy Ste 270, Katy, TX 77494. The listed phone number is (281) 347-4444.
What is Tae Kim's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tae Kim enrolled in Medicare?
Yes. Tae 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.
Which organization bills Medicare for Tae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tae Kim reassigns Medicare benefits to Seven Ports, LLC (Katy, TX). The 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 Tae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tae Kim was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Tae Kyong Kim, DC · NPI 1831603067
Chiropractor provider in Katy, Texas. Individual provider, active in the CMS NPPES registry since November 27, 2017.
## Identity
- **NPI:** 1831603067 (Entity type: Individual)
- **Enumerated:** November 27, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 13459 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25807 WESTHEIMER PKWY STE 270, Katy, TX 77494-5342
- **Phone:** (281) 347-4444 · **Fax:** (281) 347-4445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Seven Ports, LLC (NPI 1861663353, Katy, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831603067) · Data from the CMS NPPES public registry.