Individual provider Active NPI

Inah Kim, MD

  • Hospitalist Physician
  • Spokane, WA
National Provider Identifier
1376707224
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD60549183 Issued in WA
Practice address
5633 N Lidgerwood St
Spokane, WA 99208
Phone
(509) 942-2909
Fax
(509) 227-7070
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD60549183 WA Primary
Family Medicine Physician 207Q00000X 12314 ND
Family Medicine Physician 207Q00000X 4301099770 MI
Family Medicine Physician 207Q00000X MD60549183 WA
Hospitalist Physician 208M00000X 4301099770 MI
Hospitalist Physician 208M00000X 12314 ND

Addresses

Primary practice location

5633 N Lidgerwood St
Spokane, WA 99208

Mailing address

101 W 8TH Avenue
Mother Gamelin BLDG, 3Rd Floor, Room 207305
Spokane, WA 99204
Phone (509) 474-6842

Other practice location 1

101 W 8th Ave
Spokane, WA 99204
Phone (509) 942-2909

Other practice location 2

888 Swift Blvd
Richland, WA 99352
Phone (509) 946-4611

Other identifiers 2

IdentifierTypeStateIssuer
16960MedicaidND
1376707224MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002782 WA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 4789850199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Ohio State University College of Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 W 8TH Ave
Mother Gamelin 3Rd Floor
Spokane, WA 99204-2307

5615 W Sunset Hwy
Mailstop Acn PFS 8
Spokane, WA 99224

PO Box
Liberty Lake, WA 99019

Hospital & facility affiliations

  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12314NDMDHospitalist Physician
MD60549183WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince May 14, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 14, 2019 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Mar 24, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Cogent Healthcare of Michigan PC Family Medicine Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

322 W North River Dr
Spokane, WA 99201
Phone (509) 241-2575

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

101 W 8th Ave
Fl 3
Spokane, WA 99204
Phone (509) 474-2277

101 W 8th Ave
Bldg 3RD
Spokane, WA 99204

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 6

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1376707224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVENUE",
            "address_2": "MOTHER GAMELIN BLDG, 3RD FLOOR, ROOM 207305",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-474-6842",
            "fax_number": "509-474-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 N LIDGERWOOD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99208",
            "telephone_number": "509-942-2909",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99204",
            "country_code": "US",
            "telephone_number": "509-942-2909",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "99352",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "INAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60549183",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "12314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099770",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60549183",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301099770",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "12314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16960",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376707224",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.