JOHN Y KIM DO
NPI 1114288560
Emergency Medicine in Longview, WA
About John Y Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN Y KIM DO (NPI 1114288560) is an individual emergency medicine provider in Longview, Washington, licensed in Washington (OP60648272) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Y Kim Do 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.
Medicare Billing Reassignments
5Medicare enrollment records show John Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 663 clinicians in this Medicare group
Issaquah, WA 98029
- Reassigned Medicare billing, Washington enrollment
- 101 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
North Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 83 clinicians in this Medicare group
Wakefield, RI 02879
- Reassigned Medicare billing, Rhode Island enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center
Acute Care Hospitals · Seattle, WASwedish Issaquah
Acute Care Hospitals · Issaquah, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGVIEW, WA 98632
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 John Kim's NPI number?
The NPI number for John Kim is 1114288560. It was assigned to this individual provider in the NPPES registry on June 1, 2012.
Where is John Kim located?
John Kim practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 636-4831.
What is John Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Kim enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kim reassigns Medicare benefits to 5 organizations: Swedish Health Services (Seattle, WA), Eastside Emergency Physicians PLLC (Issaquah, WA), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), Emergency Care Services Of New England PC (North Providence, RI) and Emergency Physician Associates Of New England PC (Wakefield, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kim accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list John 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.
Is John Kim affiliated with any hospitals?
According to CMS data, John Kim is affiliated with Swedish Medical Center and Swedish Issaquah.
When was this NPI record last updated?
The NPPES record for John Kim was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Y Kim, DO · NPI 1114288560
Emergency Medicine physician in Longview, Washington. Individual provider, active in the CMS NPPES registry since June 1, 2012.
## Identity
- **NPI:** 1114288560 (Entity type: Individual)
- **Enumerated:** June 1, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OP60648272 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1615 DELAWARE ST, Longview, WA 98632-2367
- **Phone:** (360) 636-4831
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Swedish Health Services (NPI 1619680840, Seattle, WA); Eastside Emergency Physicians PLLC (NPI 1689683229, Issaquah, WA); Emergency Physician Services Of New York, P.C. (NPI 1093759847, Poughkeepsie, NY); Emergency Care Services Of New England PC (NPI 1639537335, North Providence, RI); Emergency Physician Associates Of New England PC (NPI 1427381052, Wakefield, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114288560) · Data from the CMS NPPES public registry.