Individual provider Active NPI

Young H Kim, MD

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1730263260
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00027555 Issued in WA
Practice address
900 Terry Ave
4TH Floor
Seattle, WA 98104-4230
Phone
(425) 353-3788
Fax
(425) 353-8041
NPI assigned
Oct 24, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00027555 WA Primary

Addresses

Primary practice location

900 Terry Ave
4TH Floor
Seattle, WA 98104-4230

Mailing address

1229 Madison St
Ste 1440
Seattle, WA 98104-3538
Phone (206) 625-0578

Other identifiers 2

IdentifierTypeStateIssuer
0037962OtherWAL & I
1061381MedicaidWA

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
I20110120000933 WA Practitioner - Anesthesiology 7113106386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00027555WAMDAnesthesiology Physician
025209WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc, PS CurrentSince Jan 1, 2018 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology Current Accepting new patients
Seattle Hand Surgery Group PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730263260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 1440",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043538",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TERRY AVE",
            "address_2": "4TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044230",
            "telephone_number": "425-353-3788",
            "fax_number": "425-353-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00027555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0037962",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1061381",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.