MARK S. KIM MD
NPI 1053403634
Phlebology in Puyallup, WA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
1803 S MERIDIAN, PUYALLUP, WA 98371(253) 268-3400(253) 268-3870 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2019, Jul 24, 2018, Dec 15, 2016 (3 updates tracked since 2016).

About Mark S. Kim Md NPPES

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

MARK S. KIM MD (NPI 1053403634) is an individual phlebology provider in Puyallup, Washington, licensed in Washington (MD00038816) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1997).

NPPES Registry Identity

NPI1053403634
Entity TypeIndividualMale
Primary Taxonomy202K00000X
Provider Legal NameMARK S. KIMCredential: MD
Location Address1803 S MERIDIANPuyallup, WA 98371
Mailing Address1803 S MeridianPuyallup, WA 98371-7513 · (253) 589-6573 · Fax (253) 984-1079
Fax(253) 268-3870
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1997
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJanuary 15, 20193 updates tracked since enumeration
NPI 1053403634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License Licensed in WA · MD00038816
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00038816 (WA)
1803 S MERIDIAN, Puyallup, WA 98371

Other Identifiers 1

Medicaid8255697WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark S. Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709911803
PECOS Enrollment IDI20100315000580
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
66 services18 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
45 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
20 services14 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
20 services19 patients

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.

Physical Therapist
1803 S MERIDIAN, SUITE A
PUYALLUP, WA 98371
Surgery (Vascular Surgery)
1803 S MERIDIAN
PUYALLUP, WA 98371

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 Mark Kim's NPI number?

The NPI number for Mark Kim is 1053403634. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Mark Kim located?

Mark Kim practices at 1803 S Meridian, Puyallup, WA 98371. The listed phone number is (253) 268-3400.

What is Mark Kim's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

Is Mark Kim enrolled in Medicare?

Yes. Mark Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Kim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Kim 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 Mark Kim was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.