Organization Active NPI

Seattle Endocrinology Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Shoreline, WA
National Provider Identifier
1922272665
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
Legal business name
SEATTLE ENDOCRINOLOGY INC
Practice address
1130 N 185TH St Ste 201
Shoreline, WA 98133-4011
Phone
(206) 542-1000
Fax
(206) 542-5353
NPI assigned
Apr 14, 2008
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Joohee Kim, MDNPI 1720044647
Title
Physician
Phone
(206) 542-1000

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD00037572 WA Primary

Addresses

Primary practice location

1130 N 185TH St Ste 201
Shoreline, WA 98133-4011

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1109545MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080829000078 WA Part B Supplier - Clinic/Group Practice 5890861710 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreline, WA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1922272665",
    "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": "206-542-1000",
            "fax_number": "206-542-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N 185TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334011",
            "telephone_number": "206-542-1000",
            "fax_number": "206-542-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE ENDOCRINOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOOHEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-542-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.