1. Home
  2. Directory
  3. Alaska
  4. Kenai
  5. Family Medicine
  6. NPI Profile

DR. KIM EDWARD THIELE D.O.
NPI 1043361629
Family Medicine in Kenai, AK

Active since January 12, 2007Opted out of Medicare · through May 27, 2028
36901 MALLARD RD, KENAI, AK 99611(907) 283-5000(907) 283-5013 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kim Edward Thiele D.o. NPPES

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

DR. KIM EDWARD THIELE D.O. (NPI 1043361629) is an individual family medicine provider in Kenai, Alaska, licensed in Alaska (MEDO4125) and active in the NPI registry since January 2007. He has opted out of Medicare through May 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043361629
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIM EDWARD THIELECredential: D.O.
Location Address36901 MALLARD RDKenai, AK 99611-6434
Mailing Address36901 Mallard RdKenai, AK 99611-6434 · (907) 283-5000
Phone(907) 283-5000
Fax(907) 283-5013
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateNovember 20, 2019
✔ NPI 1043361629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · MEDO4125
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36901 MALLARD RD, Kenai, AK 99611
Open in Google Maps ↗

Other Identifiers 1

Medicaid1013951AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kim Edward Thiele D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 27, 2016 through May 27, 2028.

Opt-Out Effective DateMay 27, 2016
Opt-Out In Effect ThroughMay 27, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

KENAI SPORTS & FAMILY CHIROPRACTIC, P.C.
Chiropractor
36901 MALLARD RD
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-3752
MRS. SHAWNA LYNN COOPER MPT
Physical Therapist
36901 MALLARD RD
KENAI, AK 99611
Kenai Peninsula Borough (907) 252-2516
DR. JOSEPH W KEITH D.C.
Chiropractor
36901 MALLARD RD
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-3752
MARIA DE LOS ANGELES MATLEY-ALZOLAR
Massage Therapist
36901 MALLARD RD
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-3752

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 Kim Thiele's NPI number?

The NPI number for Kim Thiele is 1043361629. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kim Thiele located?

Kim Thiele practices at 36901 Mallard Rd, Kenai, AK 99611. The listed phone number is (907) 283-5000.

What is Kim Thiele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kim Thiele enrolled in Medicare?

No. Kim Thiele has opted out of Medicare through May 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kim Thiele was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.