Kevin Yi, MD
Individual provider Active NPI Family Medicine Physician · Federal Way, WA
NPI 1124558465 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1124558465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD61176284 (WA)
- Practice address
- 31675 Pacific Hwy S
Federal Way, WA 98003-5407 - Phone
- (253) 215-1093
- Fax
- (253) 215-1094
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone (253) 215-1093
Hospital & facility affiliations
- St Joseph Medical Center
- Highline Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210916001230 | WA | Practitioner - Family Practice | 4486984614 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A158654 | CA | MD | Family Medicine Physician |
| MD61176284 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current |
Accepting new patients |
| St Francis Community Hospital | Past | Accepting new patients | |
| Harrison Medical Center | Past | Accepting new patients | |
| Saint Clare Hospital | Past | Accepting new patients | |
| Franciscan Health System | Past | Accepting new patients | |
| Enumclaw Regional Hospital Association | Past | Accepting new patients |
Locations
31675 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 215-1093
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- kyi710118@fhsce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A158654 | CA | |
| Family Medicine Physician | 207Q00000X | MD61176284 | WA | Yes |
Addresses
Primary practice location
31675 Pacific Hwy S
Federal Way, WA 98003-5407
Mailing address
31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone (253) 215-1093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2191625 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyi710118@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Other providers in Federal Way, WA
- Ru-Han Yeh
- Yu Michael Yeh
- Gan Yern
- Hochan Yi
- Judy Hyun Yi
- Stephanie Sangah Yi
- Liang Yin
- Yip Chiropractic, Inc.
- Steven Yip
- Naomi Yonemoto
All providers in Federal Way, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.