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

Elishabeth Kim

Individual provider Physician Assistant · NPI 1245702554

Elishabeth Kim is a Physician Assistant in Houston, Texas. Qualified in 2019, 7 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

6400 Fannin St Ste 2500
Houston, TX 77030-1537
Phone: (713) 704-4300
Fax: (713) 704-4355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15927 (TX)

Record details

NPI number1245702554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2018
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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