Active NPI
Dohyun Kim, PA-C
- Physician Assistant
- Saipan, MP
National Provider Identifier
1447928049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 121
- Practice address
- 1178 Hinemlu Street,
Saipan, MP 96950 - Phone
- (670) 234-8950
- NPI assigned
- Aug 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 121 | MP | Primary |
Addresses
Primary practice location
1178 Hinemlu Street,
Saipan, MP 96950
Mailing address
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Other practice location 1
4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MP
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950
PO Box
Saipan, MP 96950
Hospital & facility affiliations
- Commonwealth Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | MP | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saipan, MP
- NPI 1285858290
-
- Rural Health Clinic/Center
- Tinian, MP
- NPI 1003382854
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1447928049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 HINEMLU STREET,",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-234-8950"
}
],
"practiceLocations": [
{
"address_1": "4311 11th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056367",
"country_code": "US",
"telephone_number": "206-616-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DOHYUN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2025-02-06",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MP",
"license": "121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saipan, MP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.