David Keesu Kim, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00048942 Issued in WA

Practice address

2200 NW Myhre Rd
Silverdale, WA 98383-7681

Phone

(360) 830-1100

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA, MT2 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

Specialty

Diagnostic Radiology

Education

Mayo Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians

Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians

Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

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.

• Inland Imaging Associates PS

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1982236469

  MT

  Medicare reassignment Care Compare group NPD
• Inland Imaging LLC

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1851352348

  MT

  Medicare reassignment Care Compare group NPD
• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1205189461

  MT

  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  Medicare reassignment NPD
• Radia Imaging Center Holdings LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1639653017
  Medicare reassignment NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  Medicare reassignment NPD
• Swedish Radia Imaging Center at Edmonds LLC

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  Medicare reassignment NPD
• Eastern Radiological Associates PC

  • Diagnostic Ultrasound Physician
  • Billings, MT
  • NPI 1639102171

  Diagnostic Radiology

  Medicare reassignment NPD
• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment NPD
• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1174876437
  NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1700045572
  NPD
• Marcus Daly Memorial Hospital Corporation

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  Care Compare affiliation
• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Care Compare affiliation
• Providence Health & Services Mt

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1255305173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103399",
            "telephone_number": "360-782-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837681",
            "telephone_number": "360-830-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "KEESU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "44747",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-92134",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00048942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "269239",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203670300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Kershaw, LMP
• Stacee M Kessinger, M.D.
• David Joseph Kessler, M.D.
• Betsy Kidd, PHARMD
• Lauren Kilburn, PA-C
• Seongryeol Albert Kim, DDS
• Carissa King
• Dale Michael King, D.D.S.
• Dore Ann King, LMP
• Harley Wren Kinyon, CCC-A

• Diagnostic Radiology Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.

Verify at the official NPI Registry.