Individual provider Active NPI

Kyle James Kung, D.O.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1013362847
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61109795 Issued in WA
Practice address
10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5186
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OP61109795 WA
Family Medicine Physician 207Q00000X OP61109795 WA Primary

Addresses

Primary practice location

10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5186

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

1959 NE Pacific St.
Seattle, WA 98195-0001
Phone (206) 520-5000

Other practice location 2

16255 NE 87th St Ste 150
Redmond, WA 98052-7464
Phone (425) 882-1697

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address redmond.healthpoint.p3@direct.hpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222003015 WA Practitioner - Sports MedicinePractitioner - Family Practice 7012322134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

10400 NE 4TH St
Suite 2250
Bellevue, WA 98004-5186
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Dec 10, 2020 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Dec 10, 2020 Accepting new patients
Healthpoint CurrentSince Jan 2, 2024 Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Healthpoint CurrentSince Jan 2, 2024 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Virginia Mason Medical Center Past Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10400 NE 4th St
Ste 2250
Bellevue, WA 98004
Phone (425) 274-1003

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

1600 7th Ave
Ste 110
Seattle, WA 98101
Phone (206) 267-4390

7424 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-2111

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: redmond.healthpoint.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: kkung543062@direct.multicare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
  • Direct secure messaging: kkung878476@direct.ehre.uwmedicine.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1013362847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 NE 4TH ST STE 2250",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045186",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St.",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16255 NE 87th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980527464",
            "country_code": "US",
            "telephone_number": "425-882-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNG",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "OP61109795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61109795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "redmond.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "16255 NE 87th St Ste 150",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.