Jason Kim, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD00047320 Issued in WA

Practice address

22510 SE 64TH PL
Suite 120
Issaquah, WA 98027-5390

Phone

(425) 391-2722

NPI assigned

Sep 2, 2006

Last updated

Jun 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Toledo Medical College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333

Merit-based Incentive Payment System (MIPS)

Final score

27.95 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

73.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.kim@1018.securemail.prognocis.com

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

• Pacific Pain Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Issaquan, WA
  • NPI 1205163771
  Medicare reassignment NPD Authorized official
• Acute Pain Management PLLC

  • Pain Medicine Physician
  • Bellevue, WA
  • NPI 1225572381
  Medicare reassignment NPD
• Acute Pain Management PLLC

  dba Acute Pain Therapies Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
  • NPI 1144066192
  NPD
• Eastside Medical Group, LLC

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1750709358
  NPD (past)
• Pain Consultants of Washington, PLLC

  • Interventional Pain Medicine Physician
  • Kirkland, WA
  • NPI 1437189818
  NPD (past)
• Redwood Anesthesia Services, a Medical Corporation

  • Anesthesiology Physician
  • Eureka, CA
  • NPI 1699955252
  NPD (past)

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

• Kittitas County Public Hospital Dist 1

  dba Kittitas Valley Community Hospital

  • Critical Access Hospital
  • Ellensburg, WA
  • NPI 1356375307
  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1265534036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22510 SE 64TH PL",
            "address_2": "SUITE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275390",
            "telephone_number": "425-391-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22510 SE 64TH PL",
            "address_2": "SUITE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275390",
            "telephone_number": "425-391-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00047320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Killingsworth, AU.D
• Kim Pruess Nevins MD PLLC
• Alice J. Kim, M.D.
• David Hak Kim, LMHC
• Eun Hee Kim, D.D.S.
• Jessica D Kim, MPH, RD, CD
• Joyce Kim, DPT
• Indigo Kimmel, BT
• Travis J. Kinane, DO
• King Co Fire Dist No 10 (Eastside Fire & Rescue)

• Pain Medicine (Anesthesiology) Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.