Individual provider Active NPI

Kim Richards Driftmier, MD

  • Orthopaedic Surgery of the Spine Physician
  • Seattle, WA
National Provider Identifier
1023245644
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD60931365 Issued in WA
Practice address
325 9TH Ave N
Seattle, WA 98109-5122
Phone
(206) 520-5000
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60931365 WA
Orthopaedic Surgery of the Spine Physician 207XS0117X MD60931365 WA Primary

Addresses

Primary practice location

325 9TH Ave N
Seattle, WA 98109-5122

Mailing address

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-3338

Other identifiers 1

IdentifierTypeStateIssuer
1023245644MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180524002109 AK Practitioner - Orthopedic Surgery 3476869843 Reassigns benefits to 2 organizations
I20190426000489 TX Practitioner - Orthopedic Surgery 3476869843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinley Orthopedic and Sports Medicine LLCGroup PAC ID 6204124332, 7 clinicians

Practice addresses (Care Compare)

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-3338

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60931365WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Apr 4, 2019 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Jan 1, 2022 Accepting new patients
McKinley Orthopedic and Sports Medicine, LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
McKinley Imaging, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

6911 Debarr Rd
Anchorage, AK 99504
Phone (907) 205-1545

4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

2957 Santa Patricia Ct
North Pole, AK 99705
Phone (907) 385-0257

Interoperability endpoints

  • Direct secure messaging: mckinleyorthopedics.kimdriftmier@158245.advancedmd-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1023245644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093554",
            "telephone_number": "907-456-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095122",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIFTMIER",
        "first_name": "KIM",
        "middle_name": "RICHARDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60931365",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD60931365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023245644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.