NPI Details
Sam Eun Kim, M.D. is an internal medicine in Odessa, TX with 25 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Sam Eun Kim, M.D. NPI is 1093987885. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8050 E HIGHWAY 191
STE 200
ODESSA, TX
ZIP 79765-613
Phone: (432) 337-5411
Fax: (432) 561-5014
The NPI 1093987885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
The enumeration date for this NPI number is 4/1/2008 and was last updated on 7/12/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207R00000X | Internal Medicine | | N0891 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 199366903 | MEDICAID | TEXAS | |