Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962906487 Individual Practitioner Male Practitioner

Tae Y Kim

General Practice • Pompano Beach, FL

Professional Overview & Biography Verified Profile Summary

Tae Kim is a certified General Practice practicing in Pompano Beach, FL. With approximately 8 years of clinical experience since graduating from College Of Osteo Med Of The Pacific At Pomona in 2018, Tae Kim delivers high-quality medical care to the local community at 1601 S DIXIE HWY APT 612C.

Tae Kim does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1601 S Dixie Hwy Apt 612c

Pompano Beach, FL 330609043

Telephone 3054977036
Associated Practice Facility / Clinic
🏢 Coral Clinic, Llc Facility NPI 1821967555

Medicare Profile & Education

Medical School

College Of Osteo Med Of The Pacific At Pomona

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pompano Beach, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -15.1 yrs vs City Avg
City Avg: 23.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Pompano Beach, FL (2490 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (8 Years) 8 Yrs
Pompano Beach Specialty Average (23.1 Years) 23.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS16709

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address July 27, 2026

Registered at 1601 S DIXIE HWY UNIT 612C, POMPANO BEACH, FL 330609051 (Tel: 3054977036)

📍
Updated Business Mailing Address November 18, 2025

Registered at 1601 S DIXIE HWY UNIT 612C, POMPANO BEACH, FL 330609043 (Tel: 3054977036)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2025

General Practice (License #OS16709 in FL)

📍
Updated Practice Location August 06, 2025

Registered at 1601 S DIXIE HWY APT 612C, POMPANO BEACH, FL 330609043 (Tel: 5615906171)

📍
Updated Practice Location September 09, 2022

Registered at 10250 SW 56TH ST STE C203, MIAMI, FL 331657098 (Tel: 7862754322)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location November 16, 2020

Registered at 1354 BAYVIEW DR, FORT LAUDERDALE, FL 333041674 (Tel: 6506447146)

📍
Updated Business Mailing Address November 16, 2020

Registered at 1354 BAYVIEW DR, FORT LAUDERDALE, FL 333041674 (Tel: 6506447146)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2020

General Practice (License #OS16709 in FL)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 4020 OLMSTED AVE, LOS ANGELES, CA 900082628 (Tel: 6506447146)

📍
Updated Business Mailing Address March 20, 2018

Registered at 4020 OLMSTED AVE, LOS ANGELES, CA 900082628 (Tel: 6506447146)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as TAE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962906487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: July 27, 2026
Sole Proprietor: Yes

Mailing Address

1601 S Dixie Hwy Unit 612c

Pompano Beach, FL 330609051

Phone: 3054977036

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.