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

TAE Y KIM
NPI 1962906487
General Practice in Pompano Beach, FL

Q: What is Tae Kim's NPI number?

The NPI number for Tae Kim is 1962906487. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Tae Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Tae Kim was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 20, 2018PECOS Enrolled

1601 S DIXIE HWY APT 612C, POMPANO BEACH, FL 33060(305) 497-7036 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Nov 18, 2025, Aug 12, 2025 and 4 more (7 updates tracked since 2018).

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About Tae Y Kim NPPES

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

TAE Y KIM (NPI 1962906487) is an individual general practice provider in Pompano Beach, Florida, licensed in Florida (OS16709) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2018).

NPPES Registry Identity

NPI1962906487

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameTAE Y KIM

Location Address1601 S DIXIE HWY APT 612CPompano Beach, FL 33060-9043

Mailing Address1601 S Dixie Hwy Unit 612cPompano Beach, FL 33060-9051 · (305) 497-7036

Phone(305) 497-7036

Sole ProprietorYes

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateJuly 27, 20267 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1962906487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · OS16709

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1601 S DIXIE HWY APT 612C, Pompano Beach, FL 33060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae Y Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517368798

PECOS Enrollment IDI20210624003411

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.

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 1962906487. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Tae Kim located?

Tae Kim practices at 1601 S Dixie Hwy Apt 612C, Pompano Beach, FL 33060. The listed phone number is (305) 497-7036.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tae Kim enrolled in Medicare?

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

What insurance does Tae Kim accept?

Health plans from Oscar Health Maintenance Organization of Florida list Tae 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 Tae Kim was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.