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JKW MEDICAL GROUP
NPI 1023348497
Internal Medicine in Bellevue, WA

Active since January 07, 2010CLIA 50D2180847 · Waiver
11504 NE 21ST ST, BELLEVUE, WA 98004(425) 698-3033(425) 968-6357 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jkw Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JKW MEDICAL GROUP (NPI 1023348497) is a healthcare organization registered as an internal medicine in Bellevue, Washington and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jiakun Wang, Owner, as its authorized official.

NPPES Registry Identity

NPI1023348497
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJKW MEDICAL GROUP
Location Address11504 NE 21ST STBellevue, WA 98004-3025
Mailing Address11504 Ne 21st StBellevue, WA 98004-3025 · (425) 698-3033 · Fax (425) 968-6357
Phone(425) 698-3033
Fax(425) 968-6357
Organization SubpartNo
Authorized OfficialJiakun WangOwner · (615) 423-9545
Enumeration DateJanuary 7, 2010
Last NPPES UpdateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1023348497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD60003277
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11504 NE 21ST ST, Bellevue, WA 98004
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Other Identifiers 1

Medicaid2005338WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2180847

Jkw Medical Group · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2180847
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJiakun Wang
Laboratory Phone(425) 698-3033
Laboratory LocationJkw Medical Group11504 NE 21st St, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIE LYNN MCCOLL MSA, LAC
Acupuncturist
11504 NE 21ST ST
BELLEVUE, WA 98004
King County (425) 698-3033
DR. JIAKUN WANG MD
Internal Medicine
11504 NE 21ST ST
BELLEVUE, WA 98004
King County (425) 698-3033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jkw Medical Group's NPI number?

The NPI number for Jkw Medical Group is 1023348497. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Jkw Medical Group located?

Jkw Medical Group is located at 11504 NE 21st St, Bellevue, WA 98004. The listed phone number is (425) 698-3033.

What is Jkw Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jkw Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2180847) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jkw Medical Group accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jkw Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jkw Medical Group was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.