Individual provider Active NPI

Steve Hoonsang Kim, M.D.

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1457408064
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00042157 Issued in WA
Practice address
1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3752
Phone
(206) 215-3850
Fax
(206) 215-3870
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00042157 WA Primary

Addresses

Primary practice location

1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3752

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

Other identifiers 6

IdentifierTypeStateIssuer
4385KIOtherWAREGENCE INSURANCE NUM
8349011MedicaidWA
8934826OtherWADEPT OF LABOR AND INDUSTR
7843KIOtherWAREGENCE INSURANCE NUM
3732KIOtherWAREGENCE INSURANCE NUM
8438KIOtherWAREGENCE INSURANCE NUM

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
I20040611001151 WA Practitioner - Ophthalmology 5698660850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Northwest Retina PLLCGroup PAC ID 8820494073, 19 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3779
Phone (206) 215-3850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Surgery Center LLC CurrentSince Sep 5, 2023 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons, Inc., P.S. Ophthalmology CurrentSince Aug 27, 2015 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 27, 2015 Accepting new patients
Pacific Northwest Retina PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

3105 Old Fairhaven Pkwy
#103
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

321 Ramsay Way
Ste 107
Kent, WA 98032

6100 219th St SW
Ste 280
Mountlake Terrace, WA 98043

1600 E Jefferson St
Ste 101
Seattle, WA 98122
Phone (206) 320-3100

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: steve.kim.p16@direct.pnwr.nextgenshare.com
  • Direct secure messaging: steve.kim.p16@direct.proliance.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1457408064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE D050",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVE",
        "middle_name": "HOONSANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00042157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "4385KI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349011",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTR",
            "identifier": "8934826",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "7843KI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "3732KI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "8438KI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.