Organization Active NPI

Sound Medical Center Inc

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1811957020
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00027275 Issued in WA
Legal business name
SOUND MEDICAL CENTER INC
Practice address
31830 Pacific Hwy S Ste D
Federal Way, WA 98003-5449
Phone
(253) 941-7100
Fax
(253) 941-1510
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Dr. Doug Shin Kim, M.D.NPI 1720087067
Title
President
Phone
(253) 941-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00027275 WA Primary

Addresses

Primary practice location

31830 Pacific Hwy S Ste D
Federal Way, WA 98003-5449

Mailing address

31830 Pacific Hwy S Ste D
Federal Way, WA 98003-5449
Phone (253) 941-7100

Other identifiers 3

IdentifierTypeStateIssuer
0206688OtherWALABOR AND INDUSTRIES
K12297OtherWAREGENCE
7131758MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060306000286 WA Part B Supplier - Clinic/Group Practice 7315953916 Receives reassigned benefits from 3 practitioners
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

31260 Pacific Hwy S
Ste 3
Federal Way, WA 98003
Phone (253) 941-7100

31830 Pacific Hwy S
Ste D
Federal Way, WA 98003
Phone (253) 941-7100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1811957020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31830 PACIFIC HWY S STE D",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035449",
            "telephone_number": "253-941-7100",
            "fax_number": "253-941-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31830 PACIFIC HWY S STE D",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035449",
            "telephone_number": "253-941-7100",
            "fax_number": "253-941-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "SHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-941-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00027275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0206688",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "K12297",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.