NPIMap

Individual provider Active NPI

Kurt Gary Kinney, M.D.

  • Cardiovascular Disease Physician
  • Tacoma, WA
National Provider Identifier
1922015296
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00048365 Issued in WA
Practice address
1901 South Cedar St
Suite 301 Cardiac Study Center, Inc., P.S.
Tacoma, WA 98405
Phone
(253) 572-7320
Fax
(253) 627-3191
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X MD10415 HI
Cardiovascular Disease Physician 207RC0000X MD00048365 WA Primary
Interventional Cardiology Physician 207RI0011X MD00048365 WA

Addresses

Primary practice location

1901 South Cedar St
Suite 301 Cardiac Study Center, Inc., P.S.
Tacoma, WA 98405

Mailing address

1901 South Cedar St
Suite 301 Cardiac Study Center, Inc., P.S.
Tacoma, WA 98405
Phone (253) 572-7320

Other identifiers 1

IdentifierTypeStateIssuer
1055801MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071016000143 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Radiology 2567558919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
R Franklin University of Med & Sci/Chicago Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1677

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10415HIMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital Current Accepting new patients
Multicare Health System CurrentSince Aug 25, 2015 Accepting new patients
Multicare Health System CurrentSince Aug 25, 2015 Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 18, 2014 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Past Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1450 5th St SE
Ste 1100
Puyallup, WA 98372
Phone (253) 396-4806

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1901 S Cedar St
Ste 301
Tacoma, WA 98405
Phone (253) 396-4806

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: kkinney108500@direct.multicare.org

Organizations & group practices 6

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 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1922015296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SOUTH CEDAR ST",
            "address_2": "SUITE 301 CARDIAC STUDY CENTER, INC., P.S.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTH CEDAR ST",
            "address_2": "SUITE 301 CARDIAC STUDY CENTER, INC., P.S.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "KURT",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "HI",
            "license": "MD10415",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00048365",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD00048365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.