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DR. LARISA A KAUKONEN M.D.
NPI 1114961315
Emergency Medicine in Kirkland, WA

Active since June 16, 2006PECOS Enrolled
12040 NE 128TH ST, KIRKLAND, WA 98034(425) 899-1000 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Larisa A Kaukonen M.d. NPPES

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

DR. LARISA A KAUKONEN M.D. (NPI 1114961315) is an individual emergency medicine provider in Kirkland, Washington, licensed in Washington (MD00027863) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114961315
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. LARISA A KAUKONENCredential: M.D.
Location Address12040 NE 128TH STKirkland, WA 98034-3013
Mailing AddressFile 50421Los Angeles, CA 90074-0001 · (800) 793-3529
Phone(425) 899-1000
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 4, 2007
✔ NPI 1114961315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD00027863
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12040 NE 128TH ST, Kirkland, WA 98034
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Other Identifiers 10

Other8938306Wa Crime Victim
Medicare UPINE98234
Medicaid8126674WA
Medicare PIN8802602
Medicare PING8802616
Medicare PINP00137333
OtherKA6997Regence Bs
Other184572Wa L & I
Medicare PINDB9277
OtherE98234Group Health

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larisa A Kaukonen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Larisa Kaukonen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No. 2
Same address
Cardiovascular Disease
12040 NE 128TH ST
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1285706036 (425) 899-1000
Evergreen Emergency Services, Ps
Same address
Emergency Medicine
12040 NE 128TH ST
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 69 clinicians in this Medicare group
NPI 1619912524 (206) 550-5253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 20

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

DR. SHILPA KORAH PHARMD
Pharmacist
12040 NE 128TH ST, TAN 415/ MS31
KIRKLAND, WA 98034
King County (425) 899-2783
DARLENE ELAINE GRINDE RN
Registered Nurse
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 218-6241
AUSTIN M GROSS M.D.
Emergency Medicine
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-1711
JUNE L. LEE MD
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-1000
ERIN-SIOBHAIN ROSS CURRIN M.D.
Internal Medicine (Hematology & Oncology)
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-3181
RACHANA GUDIPUDI
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 400-7908
FONG KIT TAM PHARMD
Pharmacist
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-2761
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
General Acute Care Hospital
12040 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-1000

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 Larisa Kaukonen's NPI number?

The NPI number for Larisa Kaukonen is 1114961315. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Larisa Kaukonen located?

Larisa Kaukonen practices at 12040 NE 128th St, Kirkland, WA 98034. The listed phone number is (425) 899-1000.

What is Larisa Kaukonen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Larisa Kaukonen enrolled in Medicare?

Yes. Larisa Kaukonen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Larisa Kaukonen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Kaukonen reassigns Medicare benefits to 2 organizations: King County Public Hospital District No. 2 (Kirkland, WA) and Evergreen Emergency Services, Ps (Kirkland, WA). 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 Larisa Kaukonen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larisa Kaukonen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Larisa Kaukonen 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 Larisa Kaukonen was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.