Elijah Kim, DO
NPI 1922796564 · Student in an Organized Health Care Education/Training Program · Tyler, TX
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elijah Kim, DO is a Student in an Organized Health Care Education/Training Program provider in Tyler, TX (NPI 1922796564).
Provider details
- NPI number
- 1922796564
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- BP10085237 (TX)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense BP10085237 (TX)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Atorvastatin Calcium | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Frequently asked questions
- What is Elijah Kim's NPI number?
- Elijah Kim's National Provider Identifier (NPI) is 1922796564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elijah Kim's specialty?
- Elijah Kim is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Elijah Kim located?
- Elijah Kim's practice location on file with NPPES is 11937 US Highway 271, Tyler, TX 75708-3154.
- What is Elijah Kim's phone number?
- The practice phone number listed in the NPPES registry for Elijah Kim is (903) 877-7200.
- Does Elijah Kim accept Medicare?
- Elijah Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elijah Kim's NPI active?
- Yes — Elijah Kim's NPI (1922796564) is active in the NPPES registry as of the last update on 2023-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.