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Deactivated NPI 1548897531 Deactivated / Inactive NPI Female Practitioner

Dr. Angela Kim , MD

General Practice • Conroe, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angela Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2020
NPI Deactivation Date August 08, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Angela Kim, MD was a registered General Practice practicing in Conroe, TX. Throughout an active medical career spanning 2 years, Dr. Kim provided care at the practice location at 8919 OVAL GLASS ST until profile deactivation on 2022-08-08.

Practice Location & Contact Primary Location

Practice Address

8919 Oval Glass St

Conroe, TX 773041987

Telephone 6094563492

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Conroe, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX T9150

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

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 08, 2022

Registered at 8919 OVAL GLASS ST, CONROE, TX 773041987 (Tel: 6094563492)

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Updated Business Mailing Address September 08, 2022

Registered at 8919 OVAL GLASS ST, CONROE, TX 773041987

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Provider Name / Credentials Updated September 08, 2022

Recorded as ANGELA KIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated August 08, 2022

Record deactivated on August 08, 2022

NPI Profile Active March 27, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2020

Registered at 45 READE PL, POUGHKEEPSIE, NY 126013947 (Tel: 8457902085)

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Updated Business Mailing Address March 27, 2020

Registered at 45 READE PL, POUGHKEEPSIE, NY 126013947 (Tel: 8457902085)

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Provider Name / Credentials Updated March 27, 2020

Recorded as ANGELA CAI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration March 27, 2020

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: 1548897531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2020
Last Update: September 08, 2022
Deactivation Date: August 08, 2022
Sole Proprietor: Yes

Mailing Address

8919 Oval Glass St

Conroe, TX 773041987

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.