NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Hyetae Kim, Md, PA
Hyetae Kim, Md, PA is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haggerton
Business Office Mgr.
Last NPPES update
2008-05-01
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1157 E 42nd St
Odessa, TX 797627723
Mailing address
1157 E 42nd St
Odessa, TX 797627723
Authorized official
Chad Haggerton
Business Office Mgr.
📞 4325505300
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Keerthi Miryala, DMD Dentist NPI 1437247897
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158174601 | |
| 01 (TX) | 0017JK | BCBS GROUP NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.