Active NPI
Kiwan Paik, M.D.
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1912904285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00022046
- Practice address
- 1570 N 115TH St
Suite 16
Seattle, WA 98133-8412 - Phone
- (206) 365-4533
- Fax
- (206) 362-2434
- NPI assigned
- Jul 1, 2005
- Reactivated
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00022046 | WA | Primary |
Addresses
Primary practice location
1570 N 115TH St
Suite 16
Seattle, WA 98133-8412
Mailing address
1570 N 115TH St
Suite 16
Seattle, WA 98133-8412
Phone (206) 365-4533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1389808WA | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00022046 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912904285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 N 115TH ST",
"address_2": "SUITE 16",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338412",
"telephone_number": "206-365-4533",
"fax_number": "206-362-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 N 115TH ST",
"address_2": "SUITE 16",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338412",
"telephone_number": "206-365-4533",
"fax_number": "206-362-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "KIWAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "00022046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1389808WA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.