Individual provider Active NPI

Taeyong Sim, M.D.

  • Infectious Disease Physician
  • Burien, WA
National Provider Identifier
1417396003
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD70067916 Issued in WA
Practice address
16045 1St Ave S FL 2
Burien, WA 98148-1401
Phone
(206) 243-3049
Fax
(206) 965-4278
NPI assigned
Jun 18, 2013
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 17903 NV
Infectious Disease Physician 207RI0200X MD70067916 WA Primary

Addresses

Primary practice location

16045 1St Ave S FL 2
Burien, WA 98148-1401

Mailing address

16045 1St Ave S FL 2
Burien, WA 98148-1401
Phone (206) 243-3049

Other practice location 1

2435 Fire Mesa St Ste 120
Las Vegas, NV 89128-9009
Phone (702) 968-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20250514000516 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 7416249487 Reassigns benefits to 1 organization
I20260305002867 WA Practitioner - Infectious Disease 7416249487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Pan S Ko MD PCGroup PAC ID 5395971709, 3 clinicians

Practice addresses (Care Compare)

16045 1St Ave S
FL 2
Burien, WA 98148-1401
Phone (206) 965-4124

400 Sylvan Ave
Suite 108
Englewood Cliffs, NJ 07632-2717
Phone (201) 408-5314

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD70067916WAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Pan S Ko, MD, PC Infectious Disease CurrentSince Feb 22, 2025 Accepting new patients
Indiana Pathology Institute PC Current Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Oct 4, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7301 Solutions Ctr
Chicago, IL 60677

1633 N Capitol Ave
Ste 750
Indianapolis, IN 46202
Phone (317) 962-0953

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

400 Sylvan Ave
Ste 108
Englewood Cliffs, NJ 07632
Phone (201) 408-5314

16045 1st Ave S
Fl 2
Burien, WA 98148
Phone (206) 965-4200

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1417396003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-243-3049",
            "fax_number": "206-965-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-243-3049",
            "fax_number": "206-965-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Fire Mesa St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289009",
            "country_code": "US",
            "telephone_number": "702-968-2437",
            "fax_number": "702-479-1796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIM",
        "first_name": "TAEYONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "17903",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD70067916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.