Kannie Chim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60490097 Issued in WA

Practice address

306 23Rd Ave S Ste 200
Seattle, WA 98144-2371

Phone

(206) 518-9058

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Perelman School of Med at the University of Pennsylvania, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heart and Soul Hospice Hospice, Renton, WA, CCN 501552

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kchim1041327@wm.providencedirect.org

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.

• Pacmed Clinics

  dba Pacific Medical Centers

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013061217
  Medicare reassignment Care Compare group NPD
• Optum Care Washington PLLC

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1831186766

  Family Medicine

  Medicare reassignment NPD
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
  • NPI 1194428425

  Family Medicine

  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1720023641
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Puyallup, WA
  • NPI 1841550530

  Family Medicine

  NPD
• Iora Health Massachusetts, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666
  NPD (past)
• Iora Health, LLC

  dba One Medical at Dartmouth

  • Internal Medicine Physician
  • Hanover, NH
  • NPI 1700285616
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heart'N Soul Hospice of Seattle, LLC

  dba Heart and Soul Hospice

  • Community Based Hospice Care Agency
  • Renton, WA
  • NPI 1295450922
  Care Compare affiliation

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1689935736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 23RD AVE S STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442371",
            "telephone_number": "206-518-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 23RD AVE S STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442371",
            "telephone_number": "206-518-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIM",
        "first_name": "KANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60490097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor O Childs, ARNP, DNP
• Tiffany Capri Childs
• Gabrielle Chille
• Hailey Alexa Chillem
• Amelia Chim
• Ashiedu Chima, LMT
• Tara Chin-Sang, LMP
• Alan Chin, PHARMD
• Alisa Senitha Chin
• Brandon Chin

• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.

Verify at the official NPI Registry.