MEDICARE: DR. STEVEN KIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	Q7903	TX
2	207RP1001X	Pulmonary Disease Physician	Q7903	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q7903	OTHER	TX	TEXAS MEDICAL LICENSE
2	8JE39	OTHER	TX	BCBSTX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	8JE040	OTHER	TX	BCBSTX - WCCA

General Provider Information

NPI Number	:	1649594268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN KIM M.D.

Provider Business Mailing Address
First Line	:	1521 COOPER ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2711
Country	:	US
Telephone Number	:	817-336-5864
Fax Number	:	817-336-2159

Provider Business Practice Location Address
First Line	:	8752 MEDICAL CITY WAY STE 100
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-2497
Country	:	US
Telephone Number	:	817-284-9225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	07/29/2025

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Directions to “ DR. STEVEN KIM M.D.” Practice Location

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