Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Peter S Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578925764

Dr. Peter S Kim, MD is an Emergency Medicine in Fort Worth, Texas. Graduated from Loma Linda University School of Medicine in 2016, 10 years ago. Practices with Century Integrated Partners, Inc, a 330-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2016
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

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-3431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A159131 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578925764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address1500 S Main St, Fort Worth, TX 76104-4917

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Century Integrated Partners, Inc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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