Individual provider Active NPI

Joohee Kim, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shoreline, WA
National Provider Identifier
1720044647
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD00037572 Issued in WA
Practice address
1130 N 185TH St
Suite 102
Shoreline, WA 98133-4011
Phone
(205) 542-1000
Fax
(206) 542-5353
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD00037572 WA Primary

Addresses

Primary practice location

1130 N 185TH St
Suite 102
Shoreline, WA 98133-4011

Mailing address

1130 N 185TH St Ste 201
Shoreline, WA 98133-4011
Phone (205) 542-1000

Other identifiers 1

IdentifierTypeStateIssuer
1109545MedicaidWA

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
I20040831000887 WA Practitioner - EndocrinologyPractitioner - Internal Medicine 7719952977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 N 185TH St
Suite 201
Shoreline, WA 98133-4011
Phone (206) 542-1000

Hospital & facility affiliations

  • University of Washington Medical Ctr Hospital, Seattle, WA, CCN 500008
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037572WAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Endocrinology Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2008 Accepting new patients
Seattle Nephrology PLLC Past Accepting new patients

Locations

21616 76th Ave W
Ste 203
Edmonds, WA 98026
Phone (206) 367-5252

1570 N 115th St
#10
Seattle, WA 98133
Phone (206) 367-5252

1570 N 115th St
Ste 10
Seattle, WA 98133
Phone (206) 367-5252

1130 N 185th St
Ste 201
Shoreline, WA 98133
Phone (206) 367-5252

Interoperability endpoints

  • Direct secure messaging: seattleendocrinology.jooheekim@118870.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1720044647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N 185TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334011",
            "telephone_number": "205-542-1000",
            "fax_number": "206-542-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N 185TH ST",
            "address_2": "SUITE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334011",
            "telephone_number": "205-542-1000",
            "fax_number": "206-542-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOOHEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD00037572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.