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

Taesoo Kim, MD

Individual provider Nephrology Physician · NPI 1740742055

Taesoo Kim, MD is a Nephrology in Tucson, Arizona. Graduated from Creighton University School of Medicine in 2019, 7 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2019
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

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 694-0111
Fax: (520) 694-0127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1141 S La Canada Dr, Green Valley, AZ 85614-1945 — (520) 694-3030
  • 2800 E Ajo Way, Tucson, AZ 85713-6204 — (520) 874-2778

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 76485 (AZ)

Record details

NPI number1740742055
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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