Mary T. Kim, M.D.
Plastic and Reconstructive Surgery Physician · Shreveport, LA
Mary T. Kim, M.D. is a plastic and reconstructive surgery physician with a practice address in Shreveport, Louisiana, and NPI 1033192828, issued on Nov 25, 2005. Check the license (Louisiana MD200563, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Mary T. Kim
- Credential
- M.D.
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License number
- MD200563 LA
Self-reported in NPPES; status is on the state search - Practice location
- 1501 Kings Hwy, Shreveport, LA 71103
- Phone
- (318) 675-6154
- Enumerated
- Nov 25, 2005
- Record last updated
- May 18, 2009 (not updated in 17 years: call before relying on the address or phone)
- Medicaid ID
- 1581518 LA
- Medicare enrollment
- Enrolled (PECOS I20060120000623); accepts Medicare assignment
- Medical or professional school
- Tufts University School Of Medicine, 1997
- Entity
- Type 1 · individual
8 nearest plastic and reconstructive surgery physician records → All 37 in Louisiana → Look up another NPI →
Also registered at 1501 Kings Hwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ahmad AbbasStudent in an Organized Health Care Education/Training Program1043047863
- Mehdi Abbasi, MDStudent in an Organized Health Care Education/Training Program1023892106
- Maisoun AbdelbaqiAnatomic Pathology & Clinical Pathology Physician1770784894
- Sheikh AbdullahStudent in an Organized Health Care Education/Training Program1295567246
- Abdallah Abu Shehab, MDStudent in an Organized Health Care Education/Training Program1467340968
- Sergio Acevedo Cortes, DMDStudent in an Organized Health Care Education/Training Program1265320824
Verify Mary T. Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
Search for license MD200563Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% fewer Medicare Part D claims than the average plastic and reconstructive surgery physician in 2024
45 Medicare Part D claims for 13 beneficiaries, against an average of 93 among the 1,895 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 11 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Bundrick And O'Neal Plastic Surgery (amc)Shreveport, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary T. Kim among 37 plastic and reconstructive surgery physician records in Louisiana
Mary T. Kim, M.D. is one of 37 plastic and reconstructive surgery physician records with a practice address in Louisiana. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 81% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 51% of these records are
- Graduated1997 · median 2009 among the 19 with a school on file
- Record last updated2009 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0122X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Plastic and Reconstructive Surgery Physician providers in Louisiana
There are 37 plastic and reconstructive surgery physician records in Louisiana.
All 37 in Louisiana → Every provider in Shreveport → Plastic and Reconstructive Surgery Physician nationwide →
The 8 plastic and reconstructive surgery physician records with the nearest ZIP codes
- John Valiulis, M.D.Shreveport, LA 711031346263985
- Stephen Ramey, M.D.Shreveport, LA 711051679555072
- Holly Wall, MD, FACSShreveport, LA 711051245229624
- Simeon Wall, MD, FACSShreveport, LA 711051275522682
- Forrest Wall, M.D.Shreveport, LA 711061699758474
- Daniel Knight, MDShreveport, LA 711181861496556
- James Wade, MDBaton Rouge, LA 708171295808863
- Jenna Bourgeois, M.D.Baton Rouge, LA 708101942590153
Common questions
What is Mary T. Kim, M.D.'s NPI number?
Mary T. Kim, M.D.'s National Provider Identifier (NPI) is 1033192828, issued on Nov 25, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mary T. Kim, M.D. located?
The NPPES record lists a practice address at 1501 Kings Hwy, Shreveport, LA, 71103. Phone: (318) 675-6154. Providers update this record themselves, so call before visiting.
How can I verify Mary T. Kim, M.D.'s license?
NPPES lists Louisiana license number MD200563, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mary T. Kim, M.D. prescribe under Medicare Part D?
In 2024, Mary T. Kim, M.D. had 45 Medicare Part D claims for 13 beneficiaries; the average among plastic and reconstructive surgery physician prescribers was 93. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.