Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Robert Kim, MD

Individual provider Psychiatry Physician · NPI 1124210109

Dr. Andrew Robert Kim, MD is a Psychiatry in Fort Worth, Texas. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2007, 19 years ago. Licensed in Illinois and Massachusetts.

Years since qualifying
19
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1315 S Adams St
Fort Worth, TX 76104-4404
Phone: (833) 484-6359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036-129834 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 233008 (MA)

Record details

NPI number1124210109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address1315 S Adams St, Fort Worth, TX 76104-4404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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