Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDREA HYUNJEE KIM MD
NPI 1851920185
Otolaryngology in Southlake, TX

Q: What is Alexandrea Kim's NPI number?

The NPI number for Alexandrea Kim is 1851920185. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Alexandrea Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandrea Kim was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since April 07, 2020PECOS Enrolled

415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092(817) 512-2459 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Nov 20, 2025, Feb 14, 2025 and 1 more (4 updates tracked since 2020).

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About Dr. Alexandrea Hyunjee Kim Md NPPES

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

DR. ALEXANDREA HYUNJEE KIM MD (NPI 1851920185) is an individual otolaryngology provider in Southlake, Texas, licensed in Texas (W4867) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851920185

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameDR. ALEXANDREA HYUNJEE KIMCredential: MD

Location Address415 E SOUTHLAKE BLVD STE 101Southlake, TX 76092-6279

Mailing Address539 W Commerce St # 4002Dallas, TX 75208-1953

Phone(817) 512-2459

Sole ProprietorYes

Enumeration DateApril 7, 2020

Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1851920185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · W4867

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License W4867 (TX)

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License W4867 (TX)

415 E SOUTHLAKE BLVD STE 101, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Alexandrea Hyunjee 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

Medicare enrollment records show Alexandrea Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc

741 mi

Physical Medicine & Rehabilitation

80 JESSE HILL JR DR SE
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063678563 (404) 778-5014

The Emory Clinic Inc

744 mi

Internal Medicine

1365 CLIFTON RD NE
Atlanta, GA 30322

Reassigned Medicare billing, Georgia enrollment
4,840 clinicians in this Medicare group

NPI 1396798229 (404) 778-2144

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 76092 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

DR. CASEY L ANDERSON M.D.

Student in an Organized Health Care Education/Training Program