Active NPI
Sang U Kim, M.D.
- Gastroenterology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00030024
- Practice address
- 1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4623 - Phone
- (425) 467-0150
- Fax
- (425) 467-0599
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00030024 | WA | Primary |
| Gastroenterology Physician | 207RG0100X | CDR.0002582 | CO |
Addresses
Primary practice location
1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4623
Mailing address
PO Box 84088
Seattle, WA 98124-8488
Phone (425) 454-5281
Other practice location 1
1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4631
Phone (425) 454-4768
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 54 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Gastroenterology | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Past | Accepting new patients | |
| Pacific Palisades Podiatry PLLC | Past | Accepting new patients | |
| Public Hospital District No. 4, King County Washington | Gastroenterology | Past | Accepting new patients |
| Overlake Internal Medicine Laboratory | Past | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
1135 116th Ave NE
Ste 560
Bellevue, WA 98004
Phone (425) 467-0150
1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363
1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
4003 Creekside Loop
Yakima, WA 98908
Phone (509) 248-3263
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- skim1042146@wm.providencedirect.org
Organizations & group practices 11
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- Clinical Medical Laboratory
- Bellevue, WA
- NPI 1558422147
-
- Foot & Ankle Surgery Podiatrist
- Federal Way, WA
- NPI 1669428934
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
dba Public Hospital District No 4 Clinic
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
-
- Adult Medicine Physician
- Snoqualmie, WA
- NPI 1346280922
Gastroenterology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1225070170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84088",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981248488",
"telephone_number": "425-454-5281",
"fax_number": "425-990-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE",
"address_2": "SUITE 560",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044623",
"telephone_number": "425-467-0150",
"fax_number": "425-467-0599"
}
],
"practiceLocations": [
{
"address_1": "1010 Three Springs Blvd Ste 270",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813018296",
"country_code": "US",
"telephone_number": "970-764-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SANG",
"middle_name": "U",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00030024",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "CDR.0002582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.