Individual provider Active NPI

Corry Jeb Kucik, M.D.

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1679559637
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD61100234 Issued in WA
Practice address
325 9TH Ave
Seattle, WA 98104-2420
Phone
(206) 520-5000
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD61100234 WA
Anesthesiology Physician 207L00000X MD61100234 WA Primary

Addresses

Primary practice location

325 9TH Ave
Seattle, WA 98104-2420

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, LA, AL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170825000686 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7911152962 Reassigns benefits to 1 organization
I20201029000310 WA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7911152962 Reassigns benefits to 3 organizations
I20220629001490 LA Practitioner - Anesthesiology 7911152962 Reassigns benefits to 5 organizations
I20230914001347 AL Practitioner - Anesthesiology 7911152962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61100234WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Jun 24, 2024 Accepting new patients
Scripps Health Current Accepting new patients
The Association of University Physicians Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Extreme Environmental Medicine, LLC CurrentSince Oct 15, 2024 Accepting new patients
Providence Health & Service- Washington Anesthesiology CurrentSince Jun 20, 2022 Accepting new patients
USA Health Anesthesia Billing Services, LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Sep 13, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince Jun 20, 2022 Accepting new patients
East Jefferson Physicians Group Urgent Care CurrentSince Oct 1, 2022 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
Harborview Medical Center Past Accepting new patients
Manassas Anesthesia Associates PC Past Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

180 W Esplanade Ave
Ste 108
Kenner, LA 70065
Phone (504) 464-8686

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

3157 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 444-5149

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

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

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: ckucik168817@direct.ohsu.edu
  • Direct secure messaging: ckucik36984@scrippshlth.medalliesdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1679559637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042420",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCIK",
        "first_name": "CORRY",
        "middle_name": "JEB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD61100234",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61100234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.