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Active NPI 1467656033 Individual Practitioner Female Practitioner

Dr. Rebecca Nonesupplied Kim , MD

Pediatrics • Kyle, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rebecca Kim, MD is a certified Pediatrics practicing in Kyle, TX. With approximately 21 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2005, Dr. Kim delivers high-quality medical care to the local community at 4100 EVERETT DR STE 400.

Dr. Kim is affiliated with Austin Regional Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include influenza vaccine split virus, preservative free, administration of influenza virus vaccine, fee covid-19 vac 14 res. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 Everett Dr Ste 400

Kyle, TX 786406147

Telephone 5122951333
Fax 5124067327
Associated Practice Facility / Clinic
🏢 Austin Regional Clinic, Pa Facility NPI 1861797581

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kyle, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +9.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Kyle, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (21 Years) 21 Yrs
Kyle Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90662 Influenza vaccine split virus, preservative free
22 22 $76.00 $68.54
G0008 Administration of influenza virus vaccine
22 22 $39.00 $28.38
0134A Fee covid-19 vac 14 res
19 19 $80.00 $37.60
0124A Fee covid-19 vac 13 res
12 12 $80.00 $37.60

Medical Specialties & State Licenses

CMS Verified: 2021-05-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX N2600

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
350763403 (TX)
Medicaid State Provider ID
350763402 (TX)
Commercial Insurance / Payer ID Myutmb 3805159053-Commercial Number
3805159053

Hospital & Practice Group Affiliations

Austin Regional Clinic Pa

4100 Everett, Kyle, TX 786406147

Phone: 5122951333

Secondary Practice Locations

300 S Colorado St, Suite B

Lockhart, TX 786442700

Phone: 5123982578

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
NPI 1063416774

Doctor of Medicine (M.D.)

Dr. Angela Gibson , DO

Family Medicine

NPI 1093771859

Doctor of Osteopathic Medicine (D.O.)

NPI 1114933470

Doctor of Osteopathic Medicine (D.O.)

Marjan Linnell

Pediatrics

NPI 1154620623
Naroby Zorrilla , PA-C

Physician Assistant

NPI 1164847455

Physician Assistant (Certified)

Dr. Tera Brooks , MD

Family Medicine

NPI 1245504380

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address May 21, 2021

Registered at 6210 E HIGHWAY 290, AUSTIN, TX 787231142 (Tel: 5124839596)

📍
Updated Practice Location April 16, 2018

Registered at 4100 EVERETT DR STE 400, KYLE, TX 786406147 (Tel: 5122951333)

📍
Updated Business Mailing Address April 16, 2018

Registered at 4515 SETON CENTER PKWY STE 215, AUSTIN, TX 787595785 (Tel: 5123383826)

NPI Profile Active April 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2015

Registered at 300 S COLORADO ST, SUITE B, LOCKHART, TX 786442700 (Tel: 5123982578)

📍
Updated Business Mailing Address April 01, 2015

Registered at 300 S COLORADO ST, SUITE B, LOCKHART, TX 786442700 (Tel: 5123769690)

👤
Provider Name / Credentials Updated April 01, 2015

Recorded as REBECCA KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2015

Pediatrics (License #N2600 in TX)

🟢
Initial NPI Registration & Enumeration June 14, 2007

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: 1467656033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: May 21, 2021
Sole Proprietor: No

Mailing Address

6210 E Highway 290

Austin, TX 787231142

Phone: 5124839596

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.